Premium
Adenotonsillectomy as a Treatment Option for Poststreptococcal Uveitis
Author(s) -
Ovchinsky Alexander,
Schulman Susan,
Rosenfeld Richard M.
Publication year - 2002
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200204000-00012
Subject(s) - medicine , tonsillectomy , uveitis , tonsillitis , adenoidectomy , surgery , pediatrics , anterior uveitis , ophthalmology
Objectives To report recurrent uveitis as a manifestation of poststreptococcal syndrome and discuss a role of adenotonsillectomy as a treatment option. Study Design Case study. Methods A case report of a 6‐year‐old, otherwise healthy girl with group A streptococcal uveitis managed successfully with adenotonsillectomy. Results In the year after surgery there were only two episodes of uveitis, contrasted with a preoperative 3‐year history of 8 to 10 annual episodes despite corticosteroid therapy. Moreover, as a result of the postoperative improvement the child was able to avoid impending methotrexate therapy. Conclusions Although the role of tonsillectomy in managing poststreptococcal uveitis is unknown, our results suggest a positive impact independent of the baseline tonsillitis frequency. Otolaryngologists should be aware of these uncommon sequelae of streptococcal infection and the potential role of tonsillectomy in treatment.