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Synbiotic Supplementation May Relieve Anterior Uveitis, an Ocular Manifestation in Behcet’S Syndrome Publisher Pubmed



Askari G1 ; Moravejolahkami AR1
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran

Source: American Journal of Case Reports Published:2019


Abstract

Objective: Rare disease Background: To relieve the signs and symptoms of anterior uveitis (AU), an ocular manifestation of Behcet’s syndrome, we prescribed a synbiotic supplementation (probiotics and prebiotics) for a 49-year-old woman. Case Report: Seven strains of bacteria – Lactobacillus casei, Lactobacillus rhamnosus, Streptococcus thermophilus, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium longum, and Lactobacillus bulgaricus, each 108 colony-forming units (CFU) – and fructo-oligosaccharide (FOS; 100 mg) were given as a capsule 2 times per day. After 7-month treatment, AU was improved and serum inflammatory markers – C-reactive protein (CRP), highsensitivity CRP (hs-CRP), and estimated sedimentation rate (ESR) – were suppressed. Now, if a mild AU attack occurs, the problem is resolved by treatment with 1 gtt (from the Latin “guttae”, meaning drops) eye drop (prednisolone 1%) for 1 week. Conclusions: Synbiotic supplementation may contribute to treating AU, which is one of the most disastrous manifestations of BS, by controlling the proinflammatory processes. © Am J Case Rep, 2019;.