Bilateral optic neuropathy related to severe anemia in a patient with alcoholic cirrhosis: A case report and review of the literature
| Autor: | Nolwenn Riou-Comte, Jérôme Selton, Sébastien Richard, Jean-Christophe Lacour, Gioia Mione, Lisa Humbertjean-Selton |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Alcoholic liver disease
medicine.medical_specialty genetic structures Anemia Context (language use) Case Report Gastroenterology Optic neuropathy 03 medical and health sciences Hemoglobins 0302 clinical medicine Liver Cirrhosis Alcoholic Internal medicine medicine nonarteritic anterior ischemic optic neuropathy Humans Medical history Arterial Pressure Optic Neuropathy Ischemic lcsh:RC799-869 Molecular Biology Aged Hepatology business.industry chronic alcohol consumption alcoholic cirrhosis Normocytic anemia medicine.disease Prognosis anemia eye diseases Surgery 030221 ophthalmology & optometry Optic nerve Anterior ischemic optic neuropathy 030211 gastroenterology & hepatology Female lcsh:Diseases of the digestive system. Gastroenterology business alcoholic liver disease |
| Zdroj: | Clinical and Molecular Hepatology, Vol 24, Iss 4, Pp 417-423 (2018) Clinical and Molecular Hepatology |
| ISSN: | 2287-2728 |
| Popis: | Anemia appears frequently in patients with alcoholic liver disease (ALD) but has never been linked to bilateral nonarteritic anterior ischemic optic neuropathy (NAION). A 65-year-old woman with a medical history of alcoholic cirrhosis was admitted for bilateral NAION. On admission, she was found to have a low arterial pressure and severe normocytic anemia (48 g/L). The anemia was related to chronic bleeding due to antral gastritis along with other factors associated with ALD. The applied treatment consisted of urgent transfusion followed by high doses of proton-pump inhibitors, iron and vitamin supplementation, and support in lifestyle measures. Her hemoglobin levels remained stable after 2 years but the patient still suffered from visual loss. This case highlights the link between anemia and bilateral NAION in ALD patients. The optic nerve head is prone to infarction in this context due to the vascularization characteristics of ALD. Hemoglobin levels should be monitored in ALD patients to avoid the severe complication of NAION. |
| Databáze: | OpenAIRE |
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