Herpes Simplex Keratitis Misdiagnosed as Rheumatoid Arthritis-Related Peripheral Ulcerative Keratitis

Abstract

Treatment of PUK is with systemic immunosuppressive therapy, and such therapies have serious side effects. PUK may have an occult cause in RA, and a search for a secondary agent may be beneficial. In particular, occult HSV infection must be ruled out before commencing immunosuppressive therapy.