A rare manifestation of Crohn’s disease in an  adolescent: Optic neuritis: Adolesan Crohn hastasının nadir bir bulgusu: Optik nörit

Ayhan  Balkan; Sabit Kimyon; Alper  Mete; Murat Taner  Gülşen

doi:10.5152/EurJTher.2017.134

Authors

Ayhan Balkan Department of Gastroenterology, Gaziantep University School of Medicine
Sabit Kimyon Department of Ophthalmology, Gaziantep University School of Medicine
Alper Mete Department of Ophthalmology, Gaziantep University School of Medicine
Murat Taner Gülşen Department of Gastroenterology, Gaziantep University School of Medicine

DOI:

https://doi.org/10.5152/EurJTher.2017.134

Keywords:

Adolescent, Crohn’s disease, extraintestinal manifestations,, optic neuritis, vision loss

Abstract

Crohn’s disease (CD) affects the small and large intestines with focal transmural granulomatous inflammation. Some patients with inflammatory bowel diseases (IBD) also show ocular involvement. Optic nerve involvement in patients with IBD may present as neuroretinitis, papillitis, optic neuritis (demyelinating), or ischemic optic neuropathy. There is limited information on ocular involvement in adolescent and pediatric patients. We present a case of a 17-year-old male who applied to the gastroenterology department with abdominal pain, diarrhea, and sudden vision loss in the right eye and was eventually diagnosed with CD, optic neuropathy, and neuroretinitis. To best of our knowledge, this is the second report regarding optic nerve involvement in CD in the pediatric and adolescent population in literature.

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