Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492014000600018 |
Resumo: | We describe the case of a 23-month-old female infant with a diagnosis of hemolytic uremic syndrome (HUS) and hemorrhagic retinopathy. The patient had a past history of abdominal pain, bloody diarrhea, and acute renal failure. On ophthalmologic examination, indirect ophthalmoscopy revealed extensive areas of flame-shaped hemorrhage, cotton wool spots, macular edema and optic nerve head neovascularization in both eyes. Fluorescein angiography showed severe bilateral retinal ischemia and neovascularization leakage in disk. The patient, who had the visual acuity of 20/1000 in the right eye (OD) and 20/540 in the left eye (OS) at the first examination, was treated with panretinal photocoagulation (PRP) and presented at the end of the 6th month of follow-up improvement to 20/540 in OD and 20/270 in OS. There was also a regression of disc neovascularization, hemorrhages and macular edema. Despite intense retinal ischemia, there were no complications related to angiogenesis such as vitreous hemorrhage and/or neovascular glaucoma. We describe, in this report, the association between hemorrhagic retinopathy with features of Purtscher-like disease and HUS. |
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Hemorrhagic retinopathy in an infant with hemolytic-uremic syndromeHemolytic uremic syndromeRetinal hemorrhage/etiologyFluorescein angiographyLight coagulationInfantCase reportsWe describe the case of a 23-month-old female infant with a diagnosis of hemolytic uremic syndrome (HUS) and hemorrhagic retinopathy. The patient had a past history of abdominal pain, bloody diarrhea, and acute renal failure. On ophthalmologic examination, indirect ophthalmoscopy revealed extensive areas of flame-shaped hemorrhage, cotton wool spots, macular edema and optic nerve head neovascularization in both eyes. Fluorescein angiography showed severe bilateral retinal ischemia and neovascularization leakage in disk. The patient, who had the visual acuity of 20/1000 in the right eye (OD) and 20/540 in the left eye (OS) at the first examination, was treated with panretinal photocoagulation (PRP) and presented at the end of the 6th month of follow-up improvement to 20/540 in OD and 20/270 in OS. There was also a regression of disc neovascularization, hemorrhages and macular edema. Despite intense retinal ischemia, there were no complications related to angiogenesis such as vitreous hemorrhage and/or neovascular glaucoma. We describe, in this report, the association between hemorrhagic retinopathy with features of Purtscher-like disease and HUS.Conselho Brasileiro de Oftalmologia2014-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492014000600018Arquivos Brasileiros de Oftalmologia v.77 n.6 2014reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20140099info:eu-repo/semantics/openAccessGeraissate,João Caetano ÁvilaYamamoto,Rafael EidiIsaac,David Leonardo CruvinelÁvila,Marcos Pereira deeng2015-04-10T00:00:00Zoai:scielo:S0004-27492014000600018Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2015-04-10T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
title |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
spellingShingle |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome Geraissate,João Caetano Ávila Hemolytic uremic syndrome Retinal hemorrhage/etiology Fluorescein angiography Light coagulation Infant Case reports |
title_short |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
title_full |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
title_fullStr |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
title_full_unstemmed |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
title_sort |
Hemorrhagic retinopathy in an infant with hemolytic-uremic syndrome |
author |
Geraissate,João Caetano Ávila |
author_facet |
Geraissate,João Caetano Ávila Yamamoto,Rafael Eidi Isaac,David Leonardo Cruvinel Ávila,Marcos Pereira de |
author_role |
author |
author2 |
Yamamoto,Rafael Eidi Isaac,David Leonardo Cruvinel Ávila,Marcos Pereira de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Geraissate,João Caetano Ávila Yamamoto,Rafael Eidi Isaac,David Leonardo Cruvinel Ávila,Marcos Pereira de |
dc.subject.por.fl_str_mv |
Hemolytic uremic syndrome Retinal hemorrhage/etiology Fluorescein angiography Light coagulation Infant Case reports |
topic |
Hemolytic uremic syndrome Retinal hemorrhage/etiology Fluorescein angiography Light coagulation Infant Case reports |
description |
We describe the case of a 23-month-old female infant with a diagnosis of hemolytic uremic syndrome (HUS) and hemorrhagic retinopathy. The patient had a past history of abdominal pain, bloody diarrhea, and acute renal failure. On ophthalmologic examination, indirect ophthalmoscopy revealed extensive areas of flame-shaped hemorrhage, cotton wool spots, macular edema and optic nerve head neovascularization in both eyes. Fluorescein angiography showed severe bilateral retinal ischemia and neovascularization leakage in disk. The patient, who had the visual acuity of 20/1000 in the right eye (OD) and 20/540 in the left eye (OS) at the first examination, was treated with panretinal photocoagulation (PRP) and presented at the end of the 6th month of follow-up improvement to 20/540 in OD and 20/270 in OS. There was also a regression of disc neovascularization, hemorrhages and macular edema. Despite intense retinal ischemia, there were no complications related to angiogenesis such as vitreous hemorrhage and/or neovascular glaucoma. We describe, in this report, the association between hemorrhagic retinopathy with features of Purtscher-like disease and HUS. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492014000600018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492014000600018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0004-2749.20140099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.77 n.6 2014 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
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1754209028235329536 |