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History. A 24 years old Saudi young man came to KKESH E.R on January 2008 ( 3 months) wih Hx of :*redness on

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1. Case presentation By :Saad Aldahmash,MD

2. History A 24 years old Saudi young man came to KKESH E.R on January 2008 ( 3 months) wih Hx of : *redness on –off OD for 1 year . *gradual decrease in VA OD over the last 1 year. *Past ocular Hx was unremarkable. *Past medical and surgical Hx was unremarkable.

3. Family , social History *His youngest brother died at age of two years because of chronic cough . * He is living in Riyadh in a small house acomodating 12 persons.

4. He was Examined at that time at KKESH E.R : *VA … OD 20/70 OS 20/20 *IOP… OD 18 mmHg. OS 16 mmHg. *SLE …OD: mutton fat KPs , +3 cells , vitritis . OS :quiet eye . B-scan done , showed :only vitreous haze in OD. He was diagnosed at that time as a case of : *unilateral Granulomatous panuveitis OD.

5. *They started to investigate him. *The patient lost his follow up , didn’t show .

6. The patient came again to the E.R at KKESH last week with a Hx : *Increased Pain ,redness and marked reduction of VA in OD. *the patient give a Hx of recent weight loss.

7. Examination : VA … OD HM OS 20/20 IOP… OD 56 mmHg . OS 18 mmHg . SLE … OD: corneal edema,scleritis with scleral melting,mutton fat KPs ,shallow A/C, +4 cells, 360 post. Synechiae , limbal lesion, no view to post. Pole.

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