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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

International Archives of Allergy and Immunology
|May 9, 2008
PubMed
Summary
This summary is machine-generated.

Common variable immunodeficiency (CVID) can manifest as placoid choroidopathy. This case highlights a patient with CVID presenting with hypopigmented placoid lesions, suggesting a link between the conditions.

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Area of Science:

  • Ophthalmology
  • Immunology

Background:

  • Common variable immunodeficiency (CVID) is the most frequent primary immunodeficiency.
  • CVID is characterized by hypogammaglobulinemia and impaired B-cell differentiation.
  • Ocular manifestations in CVID are rare but increasingly recognized.

Observation:

  • A 55-year-old woman with a 20-year history of CVID presented with visual changes.
  • Ophthalmic examination revealed multiple hypopigmented placoid lesions in the right eye.
  • Systemic investigations including lymph node biopsies and laboratory tests were unremarkable.

Findings:

  • The patient exhibited unilateral diffuse placoid choroidopathy.
  • The choroidopathy was associated with a long-standing diagnosis of CVID.
  • No other underlying cause for the choroidopathy was identified.

Implications:

  • This case suggests a potential association between CVID and placoid choroidopathy.
  • The pathogenesis may involve lymphoid hyperplasia or granulomatous disease secondary to CVID.
  • Further research is needed to elucidate the mechanism linking CVID and choroidal inflammation.