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CASE REPORT

Atopic Optic Neuritis

, M.D., Ph.D., &
Pages 125-127 | Accepted 23 Aug 2005, Published online: 08 Jul 2009
 

Abstract

Purpose: To report a case of optic neuritis associated with atopic dermatitis, which may represent an optic nerve counterpart of atopic myelitis. Methods: Clinical examination, MRI, blood investigations. Results: A 34-year-old man with severe atopic dermatitis developed a steroid-responsive bilateral optic neuritis. Serum IgE was highly elevated, with high titers of mite-specific IgE. Clinical ophthalmological fluctuations paralleled those of atopic dermatitis. Conclusions: The clinical features and parallel fluctuations strongly suggest that the patient's optic neuritis was related to atopic dermatitis. This atopic optic neuritis may represent the optic nerve equivalent of atopic myelitis.

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