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Diffuse placoid choroidopathy in a patient with common variable immunodeficiency
Colin A McCannel1, Jose S Pulido
1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota55905, USA. mccannel.colin@mayo.edu
Abstract:
Unilateral diffuse placoid choroidopathy can be seen in the setting of common variable immunodeficiency (CVID). A 55-year-old woman with a 20-year history of CVID presented with multiple hypopigmented placoid lesions in the right eye. Diffuse lymphadenopathy led to lymph node biopsies (mediastinal and axillary) and angiotensin-converting enzyme and serum calcium level determination, which were all normal. CVID, the most common type of significant hypogammaglobulinemia, may be associated with a placoid choroidopathy. The cause of this CVID choroidopathy is unclear at this time, but may be secondary to lymphoid hyperplasia or granulomatous disease.
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