| Abstrakt: |
Supplemental Digital Content is Available in the Text. A 58-year-old Chinese man presented with blurry vision, fever, arthralgias, and diffuse rash. Examination and testing was notable for paracentral acute middle maculopathy and retinal phlebitis with nonperfusion in the periphery. Combined with his systemic findings of rash, oral mucosal ulcer, and epididymitis, the patient was diagnosed with Behcet disease. Purpose: To report a novel presentation of bilateral paracentral acute middle maculopathy and peripheral vascular occlusions in Behcet disease. Methods: A retrospective case report with multimodal imaging studies of a patient with Behcet's disease. Results: A 58-year-old Chinese man presented with a paracentral scotoma, fever, arthralgias, and skin rash. Human leukocyte antigen (HLA) typing revealed HLA-B51 positivity. Ophthalmic examination showed peripheral retinal hemorrhages and fluorescein angiography (FA) demonstrated vascular occlusions in the peripheral retina bilaterally. Optical coherence tomography showed classic acute paracentral acute middle maculopathy lesions in both eyes. Conclusions: Paracentral acute middle maculopathy and peripheral vascular occlusion are infrequent and unconventional presentations of Behcet disease. To the best of our knowledge, this is the first report in the ophthalmic literature of paracentral acute middle maculopathy and peripheral vascular occlusion in Behcet disease. [ABSTRACT FROM AUTHOR] |
