PMC5304997_01
Oral ulcer at the posterior aspect of the tongue (red arrow).
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There was also presence of oral ulcers (Figure 1).
Magnetic resonance imaging of the brain showed small round multiple hyperintense lesions at bifrontal lobes on T2-weighted (A) and fluid-attenuated inversion recovery images (B) (red arrows). The lesions were not seen on T1-weighted image (C)
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T2-weighted and fluid-attenuated inversion recovery images (Figure 2). The lesions were absent on T1-weighted image, suggestive of acute or subacute lesion of the brain.
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Right eye showed rubeosis iridis with ectropion uvea and hypopyon (blue arrow) (A) and mild anterior segment inflammation in the left eye (B).
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Anterior segment of the right eye revealed severe anterior chamber inflammation with the presence of hypopyon, 360 degree rubeosis iridis with ectropion uvea (Figure 3A), and dense diffuse vitritis that impaired the visualization of the fundus. There was mild anterior segment inflammation in the left eye (Figure 3B) with the presence of mild vitritis and vitreous opacities.
Positive pathergy test showed pustular lesion following 24-48 hours of 23-gauge sterile needle injected subcutaneously.
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Further assessment was performed to support the diagnosis of BD; pathergy test positive (Figure 4).
Magnetic resonance imaging of the brain showed atrophy of the brainstem (red arrow).
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Another MRI of the brain revealed atrophy of the cerebellar and frontal lobe (Figure 5).
Right eye post-trabeculectomy (A) with close-up view (B), complicated with suture abscess (blue arrow) (C) and followed with blebitis (D).
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His IOP was not controlled with antiglaucoma drugs, and right eye augmented trabeculectomy was performed (Figure 6A and B). However, the bleb site was complicated with suture abscess (Figure 6C) and followed with blebitis (Figure 6D), then subsequently developed endophthalmitis.