Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection
Purpose. To report a case of bilateral ampiginous choroiditis following presumed SARS-CoV-2 infection. Case Description. A 25-year-old woman presented with metamorphopsia and a paracentral scotoma in her left eye. She endorsed night sweats, headache, and new-onset anosmia beginning 1 week before her...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/1646364 |
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| author | Elysse S. Tom K. Matthew McKay Steven S. Saraf |
| author_facet | Elysse S. Tom K. Matthew McKay Steven S. Saraf |
| author_sort | Elysse S. Tom |
| collection | DOAJ |
| description | Purpose. To report a case of bilateral ampiginous choroiditis following presumed SARS-CoV-2 infection. Case Description. A 25-year-old woman presented with metamorphopsia and a paracentral scotoma in her left eye. She endorsed night sweats, headache, and new-onset anosmia beginning 1 week before her visual symptoms. She also had multiple confirmed ill COVID-19 contacts at her workplace before the onset of her symptoms. Funduscopic examination and multimodal imaging revealed placoid lesions in the macula and midperiphery of both eyes consistent with ampiginous choroiditis. COVID-19 antibody testing returned positive for IgG, and an extensive systemic evaluation was otherwise unremarkable. She was treated with oral prednisone and azathioprine with stabilization of the retinal lesions and no progression of her symptoms. Conclusions. Ampiginous choroiditis is an inflammatory chorioretinopathy with an unknown pathogenic mechanism that often necessitates early immunomodulatory therapy. This report suggests that SARS-CoV-2 infection may trigger chorioretinal inflammation in susceptible hosts. |
| format | Article |
| id | doaj-art-df0c4b5a5bde4ab6a3aa9e2abd7e32a9 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-df0c4b5a5bde4ab6a3aa9e2abd7e32a92025-02-03T05:44:44ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/16463641646364Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 InfectionElysse S. Tom0K. Matthew McKay1Steven S. Saraf2Department of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USAPurpose. To report a case of bilateral ampiginous choroiditis following presumed SARS-CoV-2 infection. Case Description. A 25-year-old woman presented with metamorphopsia and a paracentral scotoma in her left eye. She endorsed night sweats, headache, and new-onset anosmia beginning 1 week before her visual symptoms. She also had multiple confirmed ill COVID-19 contacts at her workplace before the onset of her symptoms. Funduscopic examination and multimodal imaging revealed placoid lesions in the macula and midperiphery of both eyes consistent with ampiginous choroiditis. COVID-19 antibody testing returned positive for IgG, and an extensive systemic evaluation was otherwise unremarkable. She was treated with oral prednisone and azathioprine with stabilization of the retinal lesions and no progression of her symptoms. Conclusions. Ampiginous choroiditis is an inflammatory chorioretinopathy with an unknown pathogenic mechanism that often necessitates early immunomodulatory therapy. This report suggests that SARS-CoV-2 infection may trigger chorioretinal inflammation in susceptible hosts.http://dx.doi.org/10.1155/2021/1646364 |
| spellingShingle | Elysse S. Tom K. Matthew McKay Steven S. Saraf Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection Case Reports in Ophthalmological Medicine |
| title | Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection |
| title_full | Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection |
| title_fullStr | Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection |
| title_full_unstemmed | Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection |
| title_short | Bilateral Ampiginous Choroiditis following Presumed SARS-CoV-2 Infection |
| title_sort | bilateral ampiginous choroiditis following presumed sars cov 2 infection |
| url | http://dx.doi.org/10.1155/2021/1646364 |
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