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KMID : 1151620160010010042
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Journal of Retina
2016 Volume.1 No. 1 p.42 ~ p.45
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Bilateral Exudative Retinal Detachment in Antineutrophilic Cytoplasmic Antibodies-Associated Vasculitis
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Suh Ji-Young
Jeong Woo-Jin
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Abstract
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Purpose: To report a rare case of bilateral exudative retinal detachment in an antineutrophilic cytoplasmic antibodies (ANCA)-associated vasculitis patient.
Case summary: A 28-year-old woman presented with decreased vision and was found to have bilateral exudative retinal detachment. Fluorescein angiography showed multiple hyperfluorescent signals, and optical coherence tomography showed subretinal fluid. The patient had a history of chronic sclerosing glomerulonephritis and tested positive for ANCA. She was treated with a combination therapy of cyclophosphamide and a high dose of systemic methylprednisolone and responded rapidly. By week 4, vision had normalized and clinical signs had been resolved.
Conclusions: We report a rare case of bilateral exudative retinal detachment in an ANCA-associated vasculitis patient that was treated successfully with a combination of cyclophosphamide and methylprednisolone.
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KEYWORD
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Antineutrophilic cytoplasmic antibodies (ANCA), ANCA-associated vasculitis, ANCA positive, Exudative retinal detachment, Renal-limited vasculitis
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