Purtscher-like retinopathy as the manifestation of adult Still's disease
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View abstract on PubMed
Summary
This summary is machine-generated.Adult Still's disease (ASD) can cause rare vision complications like Purtscher-like retinopathy. Early, aggressive immunosuppressive therapy is crucial to prevent permanent vision loss in these rare cases.
Area Of Science
- Ophthalmology
- Rheumatology
- Systemic Inflammatory Disorders
Background
- Adult Still's disease (ASD) is a rare systemic inflammatory disorder.
- Ocular manifestations of ASD are infrequently reported.
- Purtscher-like retinopathy is a rare but severe complication.
Purpose Of The Study
- To report a case of Purtscher-like retinopathy as a manifestation of Adult Still's disease.
- To highlight the importance of early diagnosis and treatment of ocular involvement in ASD.
Main Methods
- Case report of a 38-year-old Brazilian woman.
- Fundoscopic examination revealing vasculitis and perimacular cotton-wool exudates.
- Clinical presentation including fever, arthritis, weight loss, and rash.
Main Results
- Diagnosis of Purtscher-like retinopathy in the context of ASD.
- Treatment initiated with methylprednisolone pulse therapy, oral methotrexate, and infliximab.
- Partial recovery of vision loss observed with treatment.
Conclusions
- Purtscher-like retinopathy is a significant indicator of poor prognosis in Adult Still's disease.
- Aggressive immunosuppressive therapy is mandatory to prevent permanent visual impairment.
- Prompt intervention is essential for managing ocular complications in ASD.
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