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Ophthalmological and neuro-ophthalmological involvement in Churg-Strauss syndrome: a case report
C Vitali1, F Genovesi-Ebert, A Romani
1Rheumatology Unit, University of Pisa, Italy.
Background:
It is well known that different types of eye involvement may develop during the course of systemic vasculitides.
Methods:
We report here a case of Churg-Strauss syndrome (allergic granulomatous angiitis) characterized by the presence of multiple ophthalmological and neuro-ophthalmological lesions, i.e., mononeuritis of the fourth cranial nerve, multifocal choroidal ischaemia, and bilateral ischaemic optic neuropathy.
Results:
Ischaemic lesions in the posterior ciliary plexus and chorio-retinal circulation, which appeared simultaneously after a phase of disease activity, were documented.
Conclusion:
The simultaneous occurrence of multiple ocular features in a patient with Churg-Strauss syndrome suggests that regional vasculitis may be the pathological mechanism underlying the multiple ophthalmological lesions in this disorder.