| 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: https://NOVEL.utah.edu/about/copyright |
| 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 http://NOVEL.utah.edu |
| Language |
eng |
| ARK |
ark:/87278/s6sj1pcr |
| Setname |
ehsl_novel_fbw |
| ID |
178308 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sj1pcr |
