A rare case report of bilateral Purtscher-like retinopathy in juvenile dermatomyositis.

GMS ophthalmology cases Pub Date : 2024-05-07 eCollection Date: 2024-01-01 DOI:10.3205/oc000237
Nidhi Paharia, Shruti Agrawal, Nikhil Agrawal, Jayesh Shah
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Abstract

Purpose: To report a rare case of bilateral Purtscher-like retinopathy (PLR) in a young adult diagnosed with dermatomyositis.

Method: A case report with multi-modal imaging.

Result: A 17-year-old male presented with subacute marked diminution of vision along with arthralgia, weakness of all four limbs and development of multiple rashes around body. Fundus examination revealed bilateral multiple Purtscher flecken, pseudo-cherry red spot, and intra-retinal haemorrhages with cotton wool spots. Systemic and laboratory examinations, magnetic resonance imaging (MRI) and biopsy of tissue confirmed the diagnosis of juvenile dermatomyositis with PLR.

Conclusion: Dermatomyositis, being a rare cause of PLR, should essentially be considered as one of the differentials as timely intervention can alter the course of disease and prove life-saving for the patient.

一例罕见的幼年皮肌炎双侧珀切尔样视网膜病变报告。
目的:报告一例罕见的双侧皮肌炎样视网膜病变(PLR)病例:方法:通过多模态成像进行病例报告:结果:一名17岁的男性患者出现亚急性视力明显减退、关节痛、四肢无力和全身多处皮疹。眼底检查发现双侧多发性普氏斑、假性樱桃红斑、视网膜内出血并伴有棉絮斑。全身检查、实验室检查、磁共振成像(MRI)和组织活检证实了幼年皮肌炎伴PLR的诊断:结论:皮肌炎是 PLR 的罕见病因,应将其作为鉴别诊断之一,因为及时干预可改变病程并挽救患者的生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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