Case report of post streptococcal multifocal choroiditis in a young pregnant female: A success story
| Autor: | Ahmed Saad, Divya Jacob, Alastair Coulson, Lyudmila Kishikova |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Choroiditis medicine.medical_treatment Multifocal choroiditis 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Immunology and Allergy Medicine Fluorescein Angiography Retrospective Studies 030203 arthritis & rheumatology Choroid business.industry Multifocal Choroiditis Immunosuppression Pregnant female medicine.disease eye diseases Ophthalmology 030221 ophthalmology & optometry Female sense organs business Tomography Optical Coherence |
| Zdroj: | Ocular Immunology and Inflammation. 30:39-41 |
| ISSN: | 1744-5078 0927-3948 |
| DOI: | 10.1080/09273948.2020.1800049 |
| Popis: | Multifocal choroiditis (MFC) is described as a chronic bilateral progressive inflammatory outer chorioretinopathy, that usually affects healthy myopic Caucasian women with no associated systemic/ocular diseases. This patient had a severe acute presentation of aggressive multifocal choroiditis that was treated with systemic steroids.This is a retrospective case report of a 30-year-old, white, European, female who was 10 weeks pregnant. She had bilateral severe vision loss and rapidly progressive rash and arthritis. The patient was extensively investigated for inflammatory and infectious etiologies by a multidisciplinary team including rheumatology and obstetrics and gynecology. Antistreptolysin levels were moderately raised. Serial retinal optical coherence tomography scans were performed and were critical for assessing disease activity and demonstrating the extent of retinal and choroidal lesions.This was a challenging case as the patient was pregnant. Nevertheless, a multidisciplinary team, opted for treatment with systemic steroids which then lead to recovery of her vision. |
| Databáze: | OpenAIRE |
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