| Identifier |
walsh_2007_s2_c3 |
| Title |
An Obscure Diagnosis |
| Creator |
Kalliopi Stasi, MD, PhD; Narsing A. Rao, MD; Steven E. Feldon, MD, MBA; David A Diloreto, MD |
| Affiliation |
Rochester, NY / Los Angeles, CA |
| Subject |
Vasculitis; Blindness; HIV; Acquired Immunodeficiency Syndrome; Eosinophils |
| History |
A 57-year old African-American male with transient visual obscurations brought on by exercise. Painless black vision associated with neck and lower back pain. Occipital headache, left facial numbness and bilateral leg weakness. Previous history significant for HIV, pneumonia, facial zoster, colitis, hepatitis C, seizure, pancreatitis, hypertension and diet-controlled diabetes mellitus. |
| Pathology |
Inflammatory eosinophilic leukocyte infiltration with destruction of elastic lamina of vessels. |
| Disease/Diagnosis |
Eosinophilic vasculitis |
| Clinical |
VA: 20/30 OD with recurrent amaurosis, 20/25 OS |
| Presenting Symptom |
Transient visual obscurations with amaurosis |
| Neuroimaging |
MRI |
| Treatment |
Steroids, Anti-HIV agents; Anticoagulants |
| Date |
2007-02 |
| References |
1. Schwartz ND, So YT, Hollander H, Allen S, Fye KH. Eosinophilic vasculitis leading to amaurosis fugax in a patient with acquired immunodeficiency syndrome. Arch Int Med; 146: 2059-2060, 1986. 2. Gross WL. Churg-Strauss syndrome: update on recent developments. Curr Opinion Rheumatol; 14: 11-14, 2002. 3. Shephard GM. Hypersensitivity reactions to drugs: evaluation and management. Mount Sinai J Med. 70:113-125, 2003. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
39th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2007 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6sj1pcr |
| Setname |
ehsl_novel_fbw |
| ID |
178308 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sj1pcr |
