Ocular complications of the Fernand-Widal triad and its therapy

Details

Serval ID
serval:BIB_FAC5331B2250
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Ocular complications of the Fernand-Widal triad and its therapy
Journal
Ophthalmologica
Author(s)
Martin  X. D., Duvoisin  B.
ISSN
0030-3755
Publication state
Published
Issued date
04/2003
Peer-reviewed
Oui
Volume
217
Number
2
Pages
160-3
Notes
Case Reports
Martin, Xavier D
Duvoisin, Bertrand
Switzerland
Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
Ophthalmologica. 2003 Mar-Apr;217(2):160-3. --- Old month value: Mar-Apr
Abstract
BACKGROUND: The Fernand-Widal triad (FWT) is the association of non-allergic intrinsic asthma, nasal polyposis and sensitivity to Aspirin. The aim of this paper is to describe the possibility of ocular complications, which we found in 3 cases: in 1 case due to the FWT itself and in the other 2 as a result of corticosteroid treatment. METHODS: Three cases of the FWT with ocular complications were studied, and the pertinent literature was reviewed. RESULTS: No previous description of ocular involvement in individuals with FWT was found in the literature. In the first case, episodes of orbital cellulitis due to superinfected nasal polyposis were found as a complication produced by the disease. In the other 2 cases, corticosteroid treatment created complications: ocular hypertension in both cases and bilateral subcapsular cataracts in 1 case. CONCLUSIONS: Although not rare, the diagnosis of the FWT is often missed. This perhaps explains why no report of ocular complications has yet been published in the literature. Because of the serious clinical consequences, physicians involved in the treatment of these patients should be aware of this diagnosis.
Keywords
Adult Aged Anti-Bacterial Agents/therapeutic use Antihypertensive Agents/therapeutic use Aspirin/*adverse effects Asthma/*complications/drug therapy Cataract/*chemically induced Cellulitis/drug therapy/*microbiology Drug Hypersensitivity/*complications/drug therapy Female Glucocorticoids/*adverse effects/therapeutic use Humans Male Nasal Polyps/*complications/microbiology Ocular Hypertension/*chemically induced/drug therapy Orbital Diseases/drug therapy/*microbiology Streptococcal Infections/drug therapy/*microbiology Streptococcus/isolation & purification Syndrome
Pubmed
Web of science
Create date
11/04/2008 12:40
Last modification date
20/08/2019 17:26
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