TY - JOUR
T1 - Ocular findings in a patient with Castleman's disease before and after treatment with immunosuppression and plasmapheresis.
AU - Jorge, Rodrigo
AU - Scott, Ingrid U.
AU - Oliveira, Rafael C.
AU - Costa, Rogério A.
AU - Siqueira, Rubens C.
AU - Louzada-Júnior, Paulo
PY - 2010
Y1 - 2010
N2 - A 12-year-old girl with a 3-month history of epistaxis and Castleman's disease presented with blurred vision in both eyes for 2 weeks. Indirect ophthalmoscopy revealed a blurred optic disc margin, venous engorgement and tortuosity, intraretinal hemorrhages and cotton wool spots, and serous detachment of the neurosensory retina in the posterior pole of each eye. Fluorescein angiography and laboratory tests revealed abnormalities consistent with the clinical examination. Six months following institution of immunosuppressive treatment, cryoglobulin levels decreased and visual acuity and funduscopic abnormalities were markedly improved. However, a few microaneurysms, retinal hemorrhages, and venous engorgement and tortuosity persisted. One month after the cessation of immunosuppressive treatment, symptoms related to the hyperviscosity syndrome recurred and the patient was treated with one session of plasmapheresis. One month after the plasmapheresis, the patient's symptoms resolved, laboratory values were normal, visual acuity was 20/15 in both eyes, and the funduscopic examination of each eye was unremarkable.
AB - A 12-year-old girl with a 3-month history of epistaxis and Castleman's disease presented with blurred vision in both eyes for 2 weeks. Indirect ophthalmoscopy revealed a blurred optic disc margin, venous engorgement and tortuosity, intraretinal hemorrhages and cotton wool spots, and serous detachment of the neurosensory retina in the posterior pole of each eye. Fluorescein angiography and laboratory tests revealed abnormalities consistent with the clinical examination. Six months following institution of immunosuppressive treatment, cryoglobulin levels decreased and visual acuity and funduscopic abnormalities were markedly improved. However, a few microaneurysms, retinal hemorrhages, and venous engorgement and tortuosity persisted. One month after the cessation of immunosuppressive treatment, symptoms related to the hyperviscosity syndrome recurred and the patient was treated with one session of plasmapheresis. One month after the plasmapheresis, the patient's symptoms resolved, laboratory values were normal, visual acuity was 20/15 in both eyes, and the funduscopic examination of each eye was unremarkable.
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U2 - 10.3928/15428877-20100929-10
DO - 10.3928/15428877-20100929-10
M3 - Article
C2 - 20954588
AN - SCOPUS:79952474300
SN - 2325-8160
VL - 41 Online
JO - Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
JF - Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
ER -