Hypertensive retinopathy and Purtscher-like retinopathy in a child with complement 3 glomerulopathy.

Autor: Shekarchian F; Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Hosseini SM; Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Khazaei S; Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: sahelkhazaei@yahoo.com.
Jazyk: angličtina
Zdroj: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2023 Oct; Vol. 27 (5), pp. 312-314. Date of Electronic Publication: 2023 Sep 17.
DOI: 10.1016/j.jaapos.2023.07.008
Abstrakt: We report the case of a 15-year-old boy with hypertensive retinopathy and Purtscher-like retinopathy eventually diagnosed with complement 3 glomerulopathy (C3G). The patient presented with bilateral severe painless visual loss and posterior pole cotton wool spots, optic disk and macular edema, and macular star-shaped hard exudate depositions, arterial narrowing, and venous tortuosity, indicative of hypertensive retinopathy (with an initial blood pressure of 210/130 mm Hg) and Purtscher-like retinopathy. He was subsequently diagnosed with C3G based on results of a kidney biopsy. There was a mild visual improvement on follow-up examination, and optic disk swelling and subretinal fluid and cotton wool spots resolved.
(Copyright © 2023 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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