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
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 2007-02-11
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 Case 3, Session 2, Walsh Session, NANOS 2007
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit:
ARK ark:/87278/s6sj1pcr
Contributor Primary Stasi, Kalliopi
Contributor Secondary Rao, Narsing A.; Feldon, Steven E.; DiLoreto, David A.
Setname ehsl_novel_fbw
ID 178308
Reference URL
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