Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis
76-year-old female patient, with past medical history of relapsing-remitting multiple sclerosis manifested by retrobulbar optic neuritis in both eyes with an interval of one year between the first episode in the left eye and the one in the right eye and after three decades of remission, who consulte...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/8239205 |
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| author | Angelica Pedraza-Concha Karin Brandauer Alejandro Tello Carlos Mario Rangel Christian Scheib |
| author_facet | Angelica Pedraza-Concha Karin Brandauer Alejandro Tello Carlos Mario Rangel Christian Scheib |
| author_sort | Angelica Pedraza-Concha |
| collection | DOAJ |
| description | 76-year-old female patient, with past medical history of relapsing-remitting multiple sclerosis manifested by retrobulbar optic neuritis in both eyes with an interval of one year between the first episode in the left eye and the one in the right eye and after three decades of remission, who consulted due to bilateral blurred and foggy vision. Subsequently, several differential diagnoses where ruled out. Diagnosis of bilateral anterior and intermediate uveitis with occlusive vasculitis attributed to a new relapse episode of multiple sclerosis was made, as the association between multiple sclerosis and intermediate uveitis is known, though the causal association is still questioned. This case shows how multiple sclerosis may only manifest with ocular involvement and exemplifies the broad spectrum of manifestations and complications, taking into account that ischemic areas from vasculitis and other comorbidities led to macular edema and unfortunately, prognosis became poorer. The complex course of the case enables emphasizing the responsibility role of the ophthalmologists in such systemic entities that may compromise the eye, in which suspicion of the disease and an adequate timing management approach is essential. |
| format | Article |
| id | doaj-art-41a6e1e7f0bc4110acd92631048356f3 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-41a6e1e7f0bc4110acd92631048356f32025-02-03T01:01:33ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302019-01-01201910.1155/2019/82392058239205Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple SclerosisAngelica Pedraza-Concha0Karin Brandauer1Alejandro Tello2Carlos Mario Rangel3Christian Scheib4Faculty of Medicine, Universidad Autónoma de Bucaramanga, Bucaramanga 680003, ColombiaAugenklinik am Diakonissenkrankenhaus, Karlsruhe 76199, GermanyCornea and Anterior Segment Division, Centro Oftalmológico Virgilio Galvis, Bucaramanga 680003, ColombiaRetina and Posterior Segment Division, Centro Oftalmológico Virgilio Galvis, Bucaramanga 680003, ColombiaAugenklinik am Diakonissenkrankenhaus, Karlsruhe 76199, Germany76-year-old female patient, with past medical history of relapsing-remitting multiple sclerosis manifested by retrobulbar optic neuritis in both eyes with an interval of one year between the first episode in the left eye and the one in the right eye and after three decades of remission, who consulted due to bilateral blurred and foggy vision. Subsequently, several differential diagnoses where ruled out. Diagnosis of bilateral anterior and intermediate uveitis with occlusive vasculitis attributed to a new relapse episode of multiple sclerosis was made, as the association between multiple sclerosis and intermediate uveitis is known, though the causal association is still questioned. This case shows how multiple sclerosis may only manifest with ocular involvement and exemplifies the broad spectrum of manifestations and complications, taking into account that ischemic areas from vasculitis and other comorbidities led to macular edema and unfortunately, prognosis became poorer. The complex course of the case enables emphasizing the responsibility role of the ophthalmologists in such systemic entities that may compromise the eye, in which suspicion of the disease and an adequate timing management approach is essential.http://dx.doi.org/10.1155/2019/8239205 |
| spellingShingle | Angelica Pedraza-Concha Karin Brandauer Alejandro Tello Carlos Mario Rangel Christian Scheib Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis Case Reports in Ophthalmological Medicine |
| title | Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis |
| title_full | Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis |
| title_fullStr | Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis |
| title_full_unstemmed | Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis |
| title_short | Bilateral Anterior and Intermediate Uveitis with Occlusive Vasculitis as Sole Manifestation of Relapse in Multiple Sclerosis |
| title_sort | bilateral anterior and intermediate uveitis with occlusive vasculitis as sole manifestation of relapse in multiple sclerosis |
| url | http://dx.doi.org/10.1155/2019/8239205 |
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