Uveitis, Arthritis, Dilated Cardiomyopat

2024-10-02 06:55:40
My mother, aged 55, was diagnosed with non-granulomatous acute uveitis last month. She had symptoms of discomfort in her eye, and her eye turned left for a few hours one day. Her HLA-B27 result was indeterminate, ANA was negative, and her rheumatoid factor was 10. The orthopedic prescribed Folitrax and Folvite for two months, and the ophthalmologist prescribed Systane drops for two months. However, neither of them has put her on steroids, and I am concerned that this may affect her vision if the inflammation persists or worsens. Additionally, two of her fingers have been out of shape for the past six months, and she struggles to hold things due to weakness and dropping objects. She is also a cardiac patient, diagnosed with dilated cardiomyopathy in 2017, with no surgeries. Her recent echo showed an EF of 42%. Can't she take steroids due to her heart condition? if steroids aren't taken, it'll get further worse ? I'm worried about her vision and heart condition. please advice
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Please mention the visual status of the eye. If vision is impaired & redness of eyes is present then steroid eye drop is mandatory , otherwise lubricant eye drop is sufficient.
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visual status should be examined . complete eye check up by ophthalmologist is recommended for resolution of  issues.

Answered2024-10-22 05:37:02

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Please consult uvea specialist and rheumatology for detailed examination and further management

Answered2024-10-10 07:27:49

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Pl consult.

Answered2024-10-04 15:49:00

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She needs topical steroids or more to treat the inflammation. Please get a consultation in person preferably. It is difficult to gauge uveitis online.Please also get the opinion of a rheumatologist. She needs immunosuppressants to prevent deformity

Answered2024-10-02 09:16:25

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Please consult online to address your concerns

Answered2024-10-02 07:26:27

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Topical steroids should suffice if there is inflammation. Systemic Investigations are advised like Anti CCP, Repeat HLA B27, Serum ACE levels eyc Kindly get an online consultation to address all your concerns

Answered2024-10-02 07:09:16

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