医学
闭塞的
视网膜血管炎
血管炎
眼科
视网膜
镰状细胞特性
心脏病学
病理
疾病
作者
Edward S. Lu,Sandra Hoyek,Melissa Yuan,Bahaeddin A. El Khatib,Efren Gonzalez,Holly Rothermel,Ryan Gise,Nimesh A. Patel
标识
DOI:10.3928/23258160-20240123-01
摘要
A 13-year-old Black male patient with a history of Kikuchi-Fujimoto disease (KFD) and sickle cell trait presented with acute painless vision loss and no light perception vision (NLP) in his left eye. The examination was indicative of occlusive retinal vasculitis with near total central retinal artery occlusion (CRAO). He was started on oral steroids with dramatic reperfusion and improvement of the retinal hemorrhages. However, his vision remained at NLP. Oral steroids were tapered, and rituximab infusion was initiated. While ocular involvement is uncommon in KFD, vision-limiting complications, such as occlusive retinal vasculitis, ophthalmic artery occlusion, and CRAO can occur. Early systemic immunosuppression is key in achieving rapid remission. [ Ophthalmic Surg Lasers Imaging Retina 2024;55:235–239.]
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