A review of the spectrum of clinical ocular fundus findings in P. falciparummalaria in African children with a proposed classification and grading system

Autor: Lewallen, Susan, Harding, Simon P., Ajewole, Jeff, Schulenburg, W.Edmund, Molyneux, Malcolm E., Marsh, Kevin, Usen, Stanley, White, Nicholas J., Taylor, Terrie E.
Zdroj: Transactions of the Royal Society of Tropical Medicine & Hygiene; November 1999, Vol. 93 Issue: 6 p619-622, 4p
Abstrakt: Ocular fundus pathology in Plasmodium falciparummalaria is common and has prognostic significance. We have made a collaborative effort to document the ocular features in several populations. Based on examination of 735 patients in Malawi, Kenya and The Gambia by direct and indirect ophthalmoscopy with dilated pupils, we have determined that the 5 distinct clinical features (in order of frequency) include retinal whitening, haemorrhages, unique vessel abnormalities, papilloedema, and cotton wool spots. Photographs and descriptions of these are presented, along with a proposed grading scheme.
Databáze: Supplemental Index