Bilateral Frosted Branch Angiitis in Kikuchi-Fujimoto Disease
Journal of the Korean Ophthalmological Society
;
: 876-880, 2018.
Article
in Korean
| WPRIM
| ID: wpr-738577
ABSTRACT
PURPOSE:
A case of frosted branch angiitis in Kikuchi-Fujimoto disease is reported. CASESUMMARY:
A 33-year-old male complained of a sudden decrease in visual acuity that developed in both eyes 5 days prior. He suffered from a headache, chills, myalgia, and flank pain 1 week before. The initial best-corrected visual acuity (BCVA) was 0.1 in the right eye and 0.2 in the left eye. On slit lamp examination, no inflammatory finding was observed in the anterior chamber and vitreous body of both eyes. On fundus examination, a diffuse vascular sheathing-like frosted branch was found in the retinal vessels, and retinal hemorrhage was observed. Fluorescein angiography showed staining and leakage of dye along the vascular sheathing. Serological findings were negative, showing no evidence of an autoimmune disease or viral infection. Neck ultrasonography revealed non-tender left cervical lymph node enlargement >1 cm in diameter. Ultrasound-guided fine needle aspiration cytology showed findings compatible with Kikuchi-Fujimoto disease, including necrotic changes and pronounced karyorrhexis, plus histiocyte and lymphocyte infiltration without neutrophils. We started systemic steroid therapy. One month after treatment, the BCVA of both eyes improved to 1.0.CONCLUSIONS:
In patients with frosted branch angiitis, systemic disease such as Kikuchi-Fujimoto disease should be considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retinal Vessels
/
Autoimmune Diseases
/
Vasculitis
/
Vitreous Body
/
Retinal Hemorrhage
/
Fluorescein Angiography
/
Lymphocytes
/
Visual Acuity
/
Ultrasonography
/
Histiocytic Necrotizing Lymphadenitis
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2018
Type:
Article
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