Topical podophyllum-induced toxic anterior uveitis

Ocul Immunol Inflamm. 2011 Apr;19(2):118-20. doi: 10.3109/09273948.2010.551446.

Abstract

Objective: To report a case of toxic anterior uveitis probably secondary to the use of topical podophyllum.

Design: Case report, interventional.

Methods: The authors present a 78-year-old male with acute anterior uveitis that developed within a couple of hours of application of topical podophyllum. In vivo confocal microscopy showed unique findings that disappeared following treatment with topical steroids alone. The patient reapplied podophyllum 2 months later and a recurrence of uveitis was noted.

Results: A score of 7 was obtained using the adverse drug reaction probability scale, suggesting that the anterior uveitis is a probable adverse reaction to topical podophyllum.

Conclusions: Anterior uveitis may occur after topical application of podophyllum.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Aged
  • Face
  • Humans
  • Male
  • Microscopy, Confocal
  • Mydriatics / administration & dosage
  • Phytotherapy / adverse effects*
  • Plant Preparations / administration & dosage*
  • Plant Preparations / adverse effects*
  • Podophyllum / adverse effects*
  • Skin Diseases / drug therapy
  • Skin Diseases / pathology
  • Steroids / administration & dosage
  • Uveitis, Anterior / drug therapy
  • Uveitis, Anterior / etiology*
  • Uveitis, Anterior / pathology
  • Warts / drug therapy
  • Warts / pathology

Substances

  • Mydriatics
  • Plant Preparations
  • Steroids