Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report

Abstract Purpose To report the occurrence of AMN (Acute Macular Neuroretinopathy) in a Behçet Disease (BD) patient during an active systemic inflammatory relapse and to describe the SD-OCT features of this entity. Patients and methods Retrospective observational case report of a patient who presente...

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Main Authors: Ayman Mabchour, Moncef Ould Hamou, Simon Correa, François Willermain, Nacima Kisma
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:Journal of Ophthalmic Inflammation and Infection
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Online Access:https://doi.org/10.1186/s12348-025-00457-x
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author Ayman Mabchour
Moncef Ould Hamou
Simon Correa
François Willermain
Nacima Kisma
author_facet Ayman Mabchour
Moncef Ould Hamou
Simon Correa
François Willermain
Nacima Kisma
author_sort Ayman Mabchour
collection DOAJ
description Abstract Purpose To report the occurrence of AMN (Acute Macular Neuroretinopathy) in a Behçet Disease (BD) patient during an active systemic inflammatory relapse and to describe the SD-OCT features of this entity. Patients and methods Retrospective observational case report of a patient who presented with an AMN during a BD associated ocular inflammation (Saint Pierre Hospital, Brussels, Belgium). Clinical record and imaging, including infrared reflectance image (IR) and spectral domain optical coherence tomography (SD-OCT), were analyzed. Results A 25-year-old man presented with an acute right eye scotoma due to AMN in the setting of active systemic BD. Oral corticosteroid therapy and corticosteroid sparing agents (azathioprine) were prescribed. Close observation revealed progressive lesion regression. Conclusion In conclusion, the association between AMN and BD may occur in the context of active systemic disease, though further studies are required to better establish this link. Vigilance appears warranted during inflammatory episodes in BD, as they might contribute to such manifestations. Clinicians could consider BD as a potential differential diagnosis in patients presenting with features suggestive of AMN, and neurological involvement may merit cerebral imaging to exclude other causes. Additionally, the management of posterior uveitis in BD, if present, may benefit from timely and targeted treatment. Further investigations are necessary to refine management strategies for AMN in patients with BD.
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spelling doaj-art-8fc648997d5148ed94fca7f315cd9fa92025-01-19T12:35:00ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602025-01-011511710.1186/s12348-025-00457-xAcute macular neuroretinopathy occurrence in a Behçet disease patient: a case reportAyman Mabchour0Moncef Ould Hamou1Simon Correa2François Willermain3Nacima Kisma4Ophthalmology Department, Erasme University Hospital, Centre Hospitalier Universitaire de Bruxelles, Université Libre de BruxellesOphthalmology Department, Saint Pierre University Hospital, Université Libre de BruxellesOphthalmology Department, Saint Pierre University Hospital, Université Libre de BruxellesOphthalmology Department, Saint Pierre University Hospital, Université Libre de BruxellesOphthalmology Department, CHIREC Braine-l’Alleud-Waterloo HospitalAbstract Purpose To report the occurrence of AMN (Acute Macular Neuroretinopathy) in a Behçet Disease (BD) patient during an active systemic inflammatory relapse and to describe the SD-OCT features of this entity. Patients and methods Retrospective observational case report of a patient who presented with an AMN during a BD associated ocular inflammation (Saint Pierre Hospital, Brussels, Belgium). Clinical record and imaging, including infrared reflectance image (IR) and spectral domain optical coherence tomography (SD-OCT), were analyzed. Results A 25-year-old man presented with an acute right eye scotoma due to AMN in the setting of active systemic BD. Oral corticosteroid therapy and corticosteroid sparing agents (azathioprine) were prescribed. Close observation revealed progressive lesion regression. Conclusion In conclusion, the association between AMN and BD may occur in the context of active systemic disease, though further studies are required to better establish this link. Vigilance appears warranted during inflammatory episodes in BD, as they might contribute to such manifestations. Clinicians could consider BD as a potential differential diagnosis in patients presenting with features suggestive of AMN, and neurological involvement may merit cerebral imaging to exclude other causes. Additionally, the management of posterior uveitis in BD, if present, may benefit from timely and targeted treatment. Further investigations are necessary to refine management strategies for AMN in patients with BD.https://doi.org/10.1186/s12348-025-00457-xAMNAcute Macular NeuroretinopathyBehçet DiseasePosterior Uveitis.
spellingShingle Ayman Mabchour
Moncef Ould Hamou
Simon Correa
François Willermain
Nacima Kisma
Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
Journal of Ophthalmic Inflammation and Infection
AMN
Acute Macular Neuroretinopathy
Behçet Disease
Posterior Uveitis.
title Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
title_full Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
title_fullStr Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
title_full_unstemmed Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
title_short Acute macular neuroretinopathy occurrence in a Behçet disease patient: a case report
title_sort acute macular neuroretinopathy occurrence in a behcet disease patient a case report
topic AMN
Acute Macular Neuroretinopathy
Behçet Disease
Posterior Uveitis.
url https://doi.org/10.1186/s12348-025-00457-x
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