Blau syndrome at a tertiary care center of Eastern India: Two case reports and review of literature

Figure 1 Systemic findings in case 1 boggy arthritis. A: Bilateral ankles; B: Bilateral wrists; C: Bilateral knee joints; D: Associated skin lesions.

Figure 2 Ocular findings in case 1 slit lamp photograph showing band-shaped keratopathy in the right eye. A: Pre-chelation; B: Post-chelation with ethylene diamine tetraacetate, showing festooned pupil with posterior synechiae and cataract; C: Left eye festooned pupil with posterior synechiae; D: Intraoperative photograph of left eye phacoaspiration.

Figure 3 Ocular findings in case 2 slit lamp photograph. A: Leucomatous corneal opacity with superficial vascularization, optic capture superiorly with haptic in the anterior chamber, significant iris atrophy, posterior synechiae and hyphema in the right eye; B: Occlusio pupillae, 360 degrees’ posterior synechiae and a patent surgical peripheral iridectomy precluding the view of the posterior segment in the left eye.

Figure 4 Ocular investigations in case 2 ultrasonography B-scan. A: Right eye revealing shallow retinal detachment; B: Left eye showing intraocular lens echoes, anechoic vitreous cavity, intact retina-choroid-sclera complex and normal optic nerve head; C: Optical Coherence Tomography of the right eye macula showing a large neurosensory retinal detachment.

Figure 5 Systemic findings in case 2 bilateral foot ulcers on the lateral aspect of the soles, sudden in onset; initially small (approximately 1 cm in size) blister which gradually got matted to form large bullae. A: Right foot showing more hypopigmentation; B: Left foot; C: Associated deformities of the hands; D: Bilateral boggy swelling of knees.