Exudative retinal detachment in castleman disease.
作者信息
Barile Gaetano R, Khatib Nora, Lee Song Eun, Dhrami-Gavazi Elona, Iranmanesh Reza, Stokes Michael B
机构信息
From the *Department of Ophthalmology, and †Department of Pathology, Columbia University Medical Center, New York, New York.
出版信息
Retin Cases Brief Rep. 2009 Spring;3(2):200-3. doi: 10.1097/ICB.0b013e31817f7b6d.
PURPOSE
To describe the course of a case of Castleman disease (CD) that presented with visual symptoms and retinal disease.
METHODS
Clinical examination, fundus photography, and fluorescein and indocyanine green angiography were used to characterize the presence of bilateral exudative retinal detachments in a patient who was subsequently identified as having systemic lymphadenopathy.
RESULTS
After an extensive medical workup including CT scans, blood testing, and a lymph node and renal biopsy, the patient was diagnosed with CD. Steroids were administered to treat CD. During the course of treatment, the patient developed renal failure, which was successfully treated with plasmapheresis. Four weeks later, the bilateral retinal detachments had resolved without local treatment.
CONCLUSION
Exudative retinal detachments as manifestations of CD may be observed under systemic treatment for resolution before considering local therapy.
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