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Acute Posterior Multifocal Placoid Pigment Epitheliopathy Sharing Characteristic OCT Findings of Vogt-Koyanagi-Harada Disease
Joint Authors
Oshitari, Toshiyuki
Baba, Takayuki
Kitamura, Yuta
Kitahashi, Masayasu
Yamamoto, Shuichi
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A 17-year-old male presented with acute bilateral paracentral scotomata and blurred vision.
Funduscopic examination showed bilateral macular serous retinal detachment and yellow-white placoid lesions at the level of retinal pigment epithelium.
OCT study showed typical VKH disease findings with marked choroidal thickening and macular serous retinal detachment partly with subretinal septa in both eyes.
FA demonstrated hypofluorescence at the placoid lesions in the early phase and hyperfluorescence in the late phase.
Laboratory investigation showed negative result for HLA-DR4 serotype and the patient’s cerebrospinal fluid test values were within normal range.
We made the diagnosis of APMPPE from these results.
At 2-month follow-up without the use of corticosteroids, OCT reexamination showed complete amelioration of subretinal fluid in both eyes.
Patchy pigmentary lesions also resolved clinically with partial chorioretinal scars.
The results in this case suggested OCT findings in APMPPE patients could be similar to characteristic features usually found in acute VKH disease.
We recommend comprehensive assessments such as FA, cerebral spinal fluid analysis, and HLA typing which help in leading proper diagnosis.
American Psychological Association (APA)
Kitamura, Yuta& Oshitari, Toshiyuki& Kitahashi, Masayasu& Baba, Takayuki& Yamamoto, Shuichi. 2019. Acute Posterior Multifocal Placoid Pigment Epitheliopathy Sharing Characteristic OCT Findings of Vogt-Koyanagi-Harada Disease. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1142389
Modern Language Association (MLA)
Kitamura, Yuta…[et al.]. Acute Posterior Multifocal Placoid Pigment Epitheliopathy Sharing Characteristic OCT Findings of Vogt-Koyanagi-Harada Disease. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1142389
American Medical Association (AMA)
Kitamura, Yuta& Oshitari, Toshiyuki& Kitahashi, Masayasu& Baba, Takayuki& Yamamoto, Shuichi. Acute Posterior Multifocal Placoid Pigment Epitheliopathy Sharing Characteristic OCT Findings of Vogt-Koyanagi-Harada Disease. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1142389
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142389