Lymphing Along

Update item information
Identifier Walsh_2010_s4_c5_mp3
Title Lymphing Along
Creator Hwang, Thomas
Subject Thrombotic Microangiopathies; Calcineurin; Platelet Aggregation Inhibitors; Lung Transplantation; Immunosuppressive Agents; Drug Toxicity
Presenting Symptom Blurred vision; Diffuse weakness; Shortness of breath; Confusion
History A 54-year old female with blurred vision, mild confusion, diffuse weakness and shortness of breath. Previous history significant for bilateral lung transplantation for complications of acute respiratory distress syndrome followed aspiration pneumonia. Past ocular history significant for bilateral cataract extraction and left corneal transplant for toxic anterior segment syndrome.
Clinical VA: 20/400 OD, 20/50 OS; Bilateral optic atrophy and bilateral visual field defects
Neuroimaging MRI
Pathology Fibrin thrombi within capillaries and arterials and associated acute infarcts of the hypothalami, frontal lobes, temporal lobes and pituitary stalk consistent with calcineurin inhibitor toxicity.
Disease/Diagnosis Thrombotic microangiopathy related to calcineurin inhibitor toxicity
Treatment Anti-infective agents; Plasmapheresis
References 1. Hachem RR, Yusen RD, Chakinala MM, Aloush AA, Patterson GA, Trulock EP. Thrombotic microangiopathy after lung transplantation. Transplantation. 2006 Jan 15;81(1):57-63. 56 |
Relation is Part of Case presented at the NANOS 2010 Walsh Session, March 7
Contributor Primary Hwang, Thomas
Contributor Secondary Yoon, Michael; McCulley, Timothy
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2010-03-07
Type Sound
Format image/jpeg
Source 42nd Annual Frank Walsh Society Meeting
Rights Management Copyright 2010. 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/s6z03c1b
Setname ehsl_novel_fbw
Date Created 2013-04-23
Date Modified 2015-12-07
ID 179135
Reference URL https://collections.lib.utah.edu/ark:/87278/s6z03c1b