Early Progressive Circumpapillary Lesion as Atypical Presentation of Multiple Evanescent White Dot Syndrome : A Case Report
| Autor: | Vela, J. I., Passabosc, Clément Jean Arthur Marie, Buil Calvo, José Antonio, Universitat Autònoma de Barcelona |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multiple evanescent white dot syndrome Posterior pole Case Report multiple evanescent white dot syndrome 01 natural sciences Lesion 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Optical coherence tomography lcsh:Ophthalmology Ophthalmology medicine 0101 mathematics Giant white spot Retinal pigment epithelium atypical presentation medicine.diagnostic_test Atypical presentation business.industry 010102 general mathematics Retinal Circumpapillary lesion medicine.disease circumpapillary lesion medicine.anatomical_structure chemistry lcsh:RE1-994 030221 ophthalmology & optometry Optic nerve sense organs Presentation (obstetrics) medicine.symptom business giant white spot |
| Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Case Reports in Ophthalmology, Vol 11, Iss 3, Pp 546-552 (2020) Recercat. Dipósit de la Recerca de Catalunya instname Case Reports in Ophthalmology Recercat: Dipósit de la Recerca de Catalunya Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Popis: | Classical clinical findings of multiple evanescent white dot syndrome (MEWDS) include multiple, small white dots scattered throughout the posterior pole, foveal granularity, posterior vitreous cells, and mild optic disc swelling. We describe the case of a 35-year-old man who was admitted to our department with an unusual presentation of MEWDS at the early onset of the disease. A unilateral circumpapillary retinal white spot was observed. Spectral domain optical coherence tomography demonstrated irregularities of the retinal pigment epithelium and disruptions of the outer retinal layers around the optic nerve without other abnormalities. A few days later, the lesion spread centrifugally from the peripapillary region and along the vascular arcades. This distinctive appearance in an early stage of the disease may suggest a disorder other than MEWDS, which can lead to a misdiagnosis and unnecessary treatment. |
| Databáze: | OpenAIRE |
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