Efficacy of oral steroid therapy in the treatment of acute maculopathy in the course of hand, foot and mouth disease – 3 case reports Case series report
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Abstract
Oral steroid therapy was administered in three patients with skin symptoms, diagnosed with hands, mouth and foot disease (HMFD, commonly known as “Boston’s disease”) and in the course of which there was a rapid deterioration of vision in one eye. Each of the patients had previous contact with a person with disease. Hospitalization of the first patient, during which general antibiotic therapy, antiviral drugs and short-term intravenous steroid therapy were used, brought only a slight improvement in visual acuity. Given the accompanying colour discrimination dysfunction, oral steroid therapy was introduced in this patient, already in the outpatient setting. The therapy brought a significant improvement in visual acuity in a short time and restored the ability to distinguish colours. This form of treatment was used in another two patients with similar, good result.
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References
2. Jurek P, Wasilonek M. Bostonka atakuje. Dziwna wysypka to charakterystyczny objaw. Online.
3. Kuchciak-Brancewicz M, Bienias W, Kaszuba A. Choroba bostońska. Dermatologia Praktyczna. 2014; 1: 9-23.
4. Marczyńska M, Popielska J. Wysypki pęcherzykowe w infekcjach wirusowych. Pediatria po Dyplomie. 2017; 2: 23-7.
5. Nassef C, Ziemer C, Morrell DS. Hand-foot-and-mouth disease: a new look at a classic viral rash. Curr Opin Pediatr. 2015; 27(4): 486-91.
6. Omaña-Cepeda C, Martínez-Valverde A, del Mar Sabater-Recolons M et al. A literature review and case report of hand, foot and mouth disease in an immunocompetent adult. BMC Res Notes. 2016; 9: 165.
7. Dziubek Z. Choroby zakaźne i pasożytnicze. PZWL, Warszawa 2003: 235-6.
8. Bienias W, Gutfreund K, Szewczyk A et al. Zespół dłoni, stóp i ust, czyli choroba bostońska: etiologia, obraz kliniczny i terapia. Dermatologia Dziecięca. 2013; 3: 18-21.
9. Agarwal A. Chapter 10: Infectious Diseases of the Retina and Choroid. In: Gass’ Atlas of Macular Diseases. 5th ed. Elsevier 2013: 970.
10. Falk ZE, Malik KJ. Unilateral acute idiopathic maculopathy in a patient with hand-foot-mouth disease: a case report. Retin Cases Brief Rep. 2022; 16(5): 540-2. http://doi.org/10.1097/ICB.0000000000001046.
11. Duman R, Duman N, Kutluksaman B et al. A review of unilateral acute idiopatic maculopathy related to hand-foot-mouth disease with a representative case. Int Ophthalmol. 2016; 36(3): 445-52. http://doi.org/10.1007/s10792-015-0147-6.
12. Agrawal R, Bhan K, Balaggan K et al. Unilateral acute maculopathy associated with adult onset hand, foot and mouth disease: case report and review of literature. J Ophthalmic Inflamm Infect. 2015; 5: 2. http://doi.org/10.1186/s12348-015-0034-3.
13.Jung CS, Payne JF, Bergstrom CS et al. Multimodality diagnostic imaging in unilateral acute idiopathic maculopathy. Arch Ophthalmol. 2012; 130(1): 50-6. http://doi.org/10.1001/archophthalmol.2011.359.
14.Acyklowir, aciclovirum – zastosowanie, działanie, opis. Online.
15. Corticosteroid (Oral Route, Parenteral Route). Online.