When obstetrics-gynecology specialists need to call an ophthalmologist urgently: a case report
| Autor: | Martine Jacot-Guillarmod, Cécile Diserens, Patrice Mathevet, C. Ribi, M. Vouga, Y. Guex-Crosier, A. S. Clottu, S. Masmejan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty genetic structures Case Report Disease Young Adult Blurred vision Behcet Syndrome/complications Behcet Syndrome/diagnosis Female Gynecology Humans Obstetrics Ophthalmologists Ulcer Behçet Genital ulcers Immunosuppressors Macular occlusion Ophthalmologic emergency Medicine Sex organ business.industry Behcet Syndrome Public health General Medicine Emergency department eye diseases Decreased Visual Acuity Differential diagnosis medicine.symptom Presentation (obstetrics) business |
| Zdroj: | Journal of medical case reports, vol. 15, no. 1, pp. 517 Journal of Medical Case Reports Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-6 (2021) |
| Popis: | Background We report here a case of a healthy 23-year-old female patient who was assessed at the gynecology emergency department for genital ulcers, fever, and blurred vision. After suspicion of herpes simplex virus-2 lesions, the diagnosis of Behçet’s disease was made. We report this case with the aim of including Behçet’s disease in the differential diagnosis of genital ulcers, and emphasize the emergency of the vision loss that can be irreversible. Case presentation A healthy 23-year-old European female patient was assessed by gynecology in the emergency department for genital lesions associated with fever and blurred vision. At first, these lesions were suspected to be primary herpes simplex virus-2 infection One day later, she experienced decreased visual acuity in both eyes. After 4 days of worsening genital ulcers and persistent blurred vision, the patient was referred to the ophthalmology department. Fundoscopic examination showed retinal hemorrhages that were consistent with the first presentation of Behçet’s disease. Conclusions This case demonstrates that genital ulcers can be the very initial symptom of this ophthalmologic emergency. The differential diagnosis of genital ulcers is challenging. Behçet’s disease should be included, especially when associated with systemic or ocular manifestations, and should be considered an emergency for the gynecologist to prevent long-term vision loss. |
| Databáze: | OpenAIRE |
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