폐쇄성 망막혈관염을 동반한 척-스트라우스 증후군 1예

• 영문명: A Case of Occlusive Retinal Vasculitis in Churg-Strauss Syndrome
• 발행기관: 대한안과학회
• 저자명: 양지욱 박영훈,Ji-Wook Yang, M.D., Young-Hoon Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number8, 1335~1340쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.08.15

영문 초록

Purpose: To report a case of occlusive retinal vasculitis in Churg-Strauss syndrome. Case summary: A-48-year-old man visited our clinic complaining of suddenly decreased visual acuity in the left eye. Two months previously he had an operation for sinusitis, and he had been taking medications for asthma. In the initial examination, his best corrected visual acuity was 0.02 in the left eye. Fundus examination showed whitish, multiple, diffuse ischemic lesions around the posterior pole and slightly engorged retinal veins in the left eye. Fluorescein angiography showed delayed choroidal filling and delayed arteriovenous transit time in the left eye, but no apparently visible obstruction site. The eosinophil count was elevated to 65% in the white blood cell differentiated count, and perinuclear antineutrophil cytoplasmic antibodies (ANCA) with antimyeloperoxidase specificity (MPO-ANCA) was increased, but a chest X-ray was normal. Eosinophil infiltrations in the mucosa of the paranasal sinus were found, and peripheral neuropathy was found in a nerve conduction study. Hence, we diagnosed the patient with Churg-Strauss syndrome accompanied by occlusive retinal vasculitis, and started steroid therapy. Thirty days later after steroid therapy, the best corrected visual acuity of the left eye was 0.4. Conclusions: In patients with occlusive retinal vasculitis, we need to consider systemic diseases, such as Churg-Strauss syndrome. J Korean Ophthalmol Soc 49(8):1335-1340, 2008

키워드

Churg-Strauss syndrome, Occlusive retinal vasculitis