Lymphing Along

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Identifier Walsh_2010_s4_c5_mp3
Title Lymphing Along
Creator Thomas N. Hwang
Subject Thrombotic Microangiopathies; Calcineurin; Platelet Aggregation Inhibitors; Lung Transplantation; Immunosuppressive Agents; Drug Toxicity
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.
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
Clinical VA: 20/400 OD, 20/50 OS; Bilateral optic atrophy and bilateral visual field defects
Presenting Symptom Blurred vision; Diffuse weakness; Shortness of breath; Confusion
Neuroimaging MRI
Treatment Anti-infective agents; Plasmapheresis
Date 2010-03-07
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 |
Language eng
Format image/jpeg
Type Sound
Source 42nd Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2010 Walsh Session, March 7
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
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 2010. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6z03c1b
Contributor Primary Hwang, Thomas
Contributor Secondary Yoon, Michael; McCulley, Timothy
Setname ehsl_novel_fbw
ID 179135
Reference URL https://collections.lib.utah.edu/ark:/87278/s6z03c1b
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