An Obscure Diagnosis (Presentation Video)

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Identifier walsh_2007_s2_c3_video
Title An Obscure Diagnosis (Presentation Video)
Creator Stasi, Kalliopi
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 medical history significant for HIV, pneumonia, facial zoster, colitis, hepatitis C, seizure, pancreatitis, hypertension and diet-controlled diabetes mellitus.
Clinical VA: 20/30 with amaurotic episode, 20/25 OS
Neuroimaging MRI
Pathology Inflammatory eosinophilic leukocyte infiltration with destruction of elastic lamina of vessels.
Disease/Diagnosis Eosinophilc 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 Image/MovingImage
Format video/mp4
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/s6tb19pg
Setname ehsl_novel_fbw
ID 178331
Reference URL
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