Tuberculin Skin Testing Induces Bilateral Tuberculous Uveitis in a Junior High School Student.

Huiying Zhao, Xiaoyan Peng

Ocular immunology and inflammation 2022 Jan 02

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We report a rare case of bilateral tuberculous uveitis associated with tuberculin skin testing (TST) in an otherwise healthy junior high school student. A 12-year-old boy presented with severely decreased vision in both eyes and a history of an intradermal PPD (purified protein derivative) skin test 12 days earlier. The best-corrected visual acuity (BCVA) was 20/1000 in both eyes (OU). Ocular examination showed multifocal grayish-yellow choroidal tubercles. Laboratory examinations, including T-SPOT.TB, revealed no abnormal findings. He was diagnosed with tuberculous uveitis. Combined corticosteriod and anti-tuberculosis therapy (ATT) was given. The BCVA improved to 20/25, and the choroidal tubercles faded away. Our case suggests that TST may induce bilateral uveitis in rare cases.

Citation

Huiying Zhao, Xiaoyan Peng. Tuberculin Skin Testing Induces Bilateral Tuberculous Uveitis in a Junior High School Student. Ocular immunology and inflammation. 2022 Jan 02;30(1):160-162