Ocular findings in a patient with Castleman's disease before and after treatment with immunosuppression and plasmapheresis.

Rodrigo Jorge, Ingrid Scott, Rafael C. Oliveira, Rogério A. Costa, Rubens C. Siqueira, Paulo Louzada-Júnior

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A 12-year-old girl with a 3-month history of epistaxis and Castleman's disease presented with blurred vision in both eyes for 2 weeks. Indirect ophthalmoscopy revealed a blurred optic disc margin, venous engorgement and tortuosity, intraretinal hemorrhages and cotton wool spots, and serous detachment of the neurosensory retina in the posterior pole of each eye. Fluorescein angiography and laboratory tests revealed abnormalities consistent with the clinical examination. Six months following institution of immunosuppressive treatment, cryoglobulin levels decreased and visual acuity and funduscopic abnormalities were markedly improved. However, a few microaneurysms, retinal hemorrhages, and venous engorgement and tortuosity persisted. One month after the cessation of immunosuppressive treatment, symptoms related to the hyperviscosity syndrome recurred and the patient was treated with one session of plasmapheresis. One month after the plasmapheresis, the patient's symptoms resolved, laboratory values were normal, visual acuity was 20/15 in both eyes, and the funduscopic examination of each eye was unremarkable.

Original languageEnglish (US)
JournalOphthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
Volume41 Online
StatePublished - Jan 1 2010

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Giant Lymph Node Hyperplasia
Plasmapheresis
Immunosuppression
Hyperemia
Immunosuppressive Agents
Visual Acuity
Cryoglobulins
Retinal Hemorrhage
Ophthalmoscopy
Epistaxis
Withholding Treatment
Fluorescein Angiography
Wool
Optic Disk
Therapeutics
Retina
Reference Values
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology

Cite this

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abstract = "A 12-year-old girl with a 3-month history of epistaxis and Castleman's disease presented with blurred vision in both eyes for 2 weeks. Indirect ophthalmoscopy revealed a blurred optic disc margin, venous engorgement and tortuosity, intraretinal hemorrhages and cotton wool spots, and serous detachment of the neurosensory retina in the posterior pole of each eye. Fluorescein angiography and laboratory tests revealed abnormalities consistent with the clinical examination. Six months following institution of immunosuppressive treatment, cryoglobulin levels decreased and visual acuity and funduscopic abnormalities were markedly improved. However, a few microaneurysms, retinal hemorrhages, and venous engorgement and tortuosity persisted. One month after the cessation of immunosuppressive treatment, symptoms related to the hyperviscosity syndrome recurred and the patient was treated with one session of plasmapheresis. One month after the plasmapheresis, the patient's symptoms resolved, laboratory values were normal, visual acuity was 20/15 in both eyes, and the funduscopic examination of each eye was unremarkable.",
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Ocular findings in a patient with Castleman's disease before and after treatment with immunosuppression and plasmapheresis. / Jorge, Rodrigo; Scott, Ingrid; Oliveira, Rafael C.; Costa, Rogério A.; Siqueira, Rubens C.; Louzada-Júnior, Paulo.

In: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye, Vol. 41 Online, 01.01.2010.

Research output: Contribution to journalArticle

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