A case of pseudoxanthoma elasticum with proliferative diabetic retinopathy
| Autor: | Yumiko Yonemoto, Takaki Sato, Seita Morishita, Keigo Kakurai, Norihiko Ishizaki, Tsunehiko Ikeda, Kanako Yamada, Maiko Hayashi, Teruyo Kida, Ryohsuke Kohmoto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty genetic structures medicine.medical_treatment Visual Acuity Case Report Vitrectomy 030204 cardiovascular system & hematology Fundus (eye) 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Ophthalmology medicine Proliferative diabetic retinopathy Humans Fluorescein Angiography Angioid streaks Diabetic Retinopathy business.industry General Medicine Diabetic retinopathy Middle Aged Pseudoxanthoma elasticum medicine.disease eye diseases Vitreous Hemorrhage 030104 developmental biology medicine.anatomical_structure Choroidal neovascularization lcsh:RE1-994 Vitreous hemorrhage sense organs medicine.symptom business Optic disc |
| Zdroj: | BMC Ophthalmology BMC Ophthalmology, Vol 17, Iss 1, Pp 1-5 (2017) |
| ISSN: | 1471-2415 |
| DOI: | 10.1186/s12886-017-0569-1 |
| Popis: | Background To report the case of a patient with pseudoxanthoma elasticum (PXE) and proliferative diabetic retinopathy (PDR), and discuss the relationship between PXE and diabetic retinopathy (DR). Case presentation A 47-year-old man with PXE presented with angioid streaks and DR in both eyes, and bilateral panretinal photocoagulation was performed for treatment. Vitrectomy had previously been performed in his right eye for vitreous hemorrhage due to PDR. Systemic findings included multiple, discrete, symmetrical, small yellow papules bilaterally in the axilla and inguinal region. Examination on presentation showed vitreous hemorrhage in his left eye, and vitrectomy was performed for treatment. Intraoperative findings showed fibrovascular membrane around the optic disc and vascular arcade. A mottled fundus (peau d’orange appearance) associated with angioid streaks was also present, yet there was no evident choroidal neovascularization (CNV). The postoperative course was satisfactory, and corrected visual acuity improved from 0.02 to 0.7 diopters. Conclusion Despite the peau d’orange appearance in both eyes of this case, no CNV was evident. The vitreous hemorrhage was thus attributed to PDR. Moreover, we reviewed the published literature and discuss the relationship between PXE and DR. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink