An Obscure Diagnosis

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Identifier walsh_2007_s2_c3
Title An Obscure Diagnosis
Creator Kalliopi Stasi
Subject Vasculitis; Blindness; HIV; Acquired Immunodeficiency Syndrome; Eosinophils
Presenting Symptom Transient visual obscurations with amaurosis
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.
Clinical VA: 20/30 OD with recurrent amaurosis, 20/25 OS
Neuroimaging MRI
Pathology Inflammatory eosinophilic leukocyte infiltration with destruction of elastic lamina of vessels.
Disease/Diagnosis Eosinophilic vasculitis
Treatment Steroids, Anti-HIV agents; Anticoagulants
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.
Relation is Part of Case 3, Session 2, Walsh Session, NANOS 2007
Contributor Primary Stasi, Kalliopi
Contributor Secondary Rao, Narsing A.; Feldon, Steven E.; DiLoreto, David A.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2007-02-11
Type Text
Format application/pdf
Source 39th Annual Frank Walsh Society Meeting
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6sj1pcr
Setname ehsl_novel_fbw
ID 178308
Reference URL