TY - JOUR
AR - JCMCR-2020-4-103
TI - Uveitis Among Children Living with HIV / AIDS in Kinshasa, RD Congo: A Case Series
AU - Nadine Nsiangani, Lusambo
AU - Dieudonné Kaimbo Wa , Kaimbo
JO - Journal of Clinical and Medical Case Reports
PY - 2020
DA - Tue 22, Dec 2020
SN - 2733-2268
DO - http://dx.doi.org/10.31487/j.JCMCR.2020.04.03
UR - https://www.sciencerepository.org/uveitis-among-children-living-with-hiv-aids-in-kinshasa_JCMCR-2020-4-103 
KW - Children, HIV, uveitis, Africa
AB - Purpose: To report the clinical features of a series of children living with HIV / AIDS (CLWHA) with
uveitis.
Methods: This was a case series of CLWHA and who had a diagnosis of uveitis examined from November
2010 to April 2011 in five sanitary structures in Kinshasa. For each child, anamnestic elements were
collected. Each child underwent an ophthalmological examination including visual acuity measurement, slit
lamp examination and fundus examination after dilation.
Results: 15 CLWAH presented with uveitis out of a series of 100 CLWHA examined. Fourteen of the
children with uveitis were already on treatment and had normal immune status, the only child who had not
yet started treatment had a severe immune deficiency. Retinal vasculitis was the most common disorder in
8 children. It was asymptomatic and mainly concerned the veins on the peripheral retina. Four children
presented with chorioretinal scars of unknown etiology. HIV-related microangiopathy was found in 2
children. Unilateral anterior uveitis was the only symptomatic involvement, found in the child who were
not on treatment.
Conclusion: Uveitis is common in African CLWHA. Retinal vasculitis of unknown etiology appears to be
the most common clinical manifestation in this population. Antiretroviral therapy seems to decrease the
frequency of sight-threatening conditions.