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Thrombophlebitis and bilateral visual loss and in Behçet’s disease

Dore, Stefano and Devilla, L. and Salvo, Marco Michele and Dessole, Laura and Patteri, Pierpaolo (2007) Thrombophlebitis and bilateral visual loss and in Behçet’s disease. Acta Ophthalmologica, Vol. 85 (Suppl. s240). ISSN 1755-375X. eISSN 1755-3768. Article.

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DOI: 10.1111/j.1600-0420.2007.01062_3448.x

Abstract

Purpose: To describe an unusual case of Behçet’s disease characterized by bilateral ocular involvement and thrombophlebitis in the right leg.
Methods: A 37-year-old man was referred with a two-month history of progressive, severe visual loss in both eyes. He had had thrombophlebitis in his right leg following an insect bite a month before. Visual acuity was R.E.: light perception and L.E.: 20/400. Fundus examination disclosed bilateral papillitis and retinal vasculitis and a macular pucker in the right eye.
Results: Fluorescein angiography showed occlusive arteritis with periphlebitis in both eyes. TC and MR imaging and laboratory tests for toxoplasmosis, Lyme disease, syphilis, HIV, HSV, and Rickettsia conorii infection were negative. Conversely, ESR, PCR and HLA-B51 were found to be positive. Treatment with systemic steroids produced no improvement.
Conclusions: Ocular Behçet’s disease is occasionally not associated with the classic systemic signs, such as oral aphtous lesions, skin lesions, and genital lesions. In this report, the retinal lesions followed an episode of thrombophlebitis caused by an insect bite.

Item Type:Article
ID Code:9983
Status:Published
Refereed:Yes
Uncontrolled Keywords:Behçet’s disease, thrombophlebitis, bilateral visual loss
Subjects:Area 06 - Scienze mediche > MED/30 Malattie apparato visivo
Divisions:001 Università di Sassari > 03 Istituti > Oftalmologia, Otorinolaringoiatria e Urologia
002 Altri enti e centri di ricerca del Nord Sardegna > Azienda ASL3, Nuoro > Ospedale "San Francesco"
Publisher:Blackwell / Wiley
ISSN:1755-375X
eISSN:1755-3768
Deposited On:22 Jul 2014 10:41

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