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Published in: Clinical Rheumatology 7/2007

01-07-2007 | Case report

Purtscher’s-like retinopathy as an initial presentation of adult-onset Still’s disease: a case report and review of the literature

Authors: Feng-Cheng Liu, Shang-Yi Chiang, Deh-Ming Chang, Jenn-Haung Lai, Tsung-Yun Hou, Chen-Hung Chen

Published in: Clinical Rheumatology | Issue 7/2007

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Abstract

Adult-onset Still’s disease is a multisystem inflammatory disorder of unknown etiology and is characterized by high, spiking fever, arthritis, evanescent maculopapular rash, myalgia, serositis, leukocytosis, and involvement of various organs including the eyes. The ocular manifestations have been described including orbital pseudotumor, ptosis, and diplopia with orbital pain but never Purtscher’s-like retinopathy. We describe a 21-year-old male patient with adult-onset Still’s disease who developed the Purtscher’s-like retinopathy. To our knowledge, this is the first reported adult-onset Still’s disease patient with Purtscher’s-like retinopathy as the initial presentation.
Literature
1.
go back to reference Purtscher O (1910) Noch unbekannte befunde nach schadeltrauma. Ber Dtsch Opthalmol Ges 36:294–301 Purtscher O (1910) Noch unbekannte befunde nach schadeltrauma. Ber Dtsch Opthalmol Ges 36:294–301
2.
go back to reference Gass JDM (1997) Purtscher’s retinopathy. In: Gass JDM (ed) Stereoscopic atlas of macular diseases. Mosby, St. Louis, pp 746–747 Gass JDM (1997) Purtscher’s retinopathy. In: Gass JDM (ed) Stereoscopic atlas of macular diseases. Mosby, St. Louis, pp 746–747
3.
go back to reference Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H et al (1992) Preliminary criteria for classification of adult Still’s disease. J Rheumatol 19:424–430PubMed Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H et al (1992) Preliminary criteria for classification of adult Still’s disease. J Rheumatol 19:424–430PubMed
4.
go back to reference Cush JJ, Leibowitz IH, Friedman SA (1985) Adult-onset Still’s disease and inflammatory orbital pseudotumor. NY State J Med 85:110–111 Cush JJ, Leibowitz IH, Friedman SA (1985) Adult-onset Still’s disease and inflammatory orbital pseudotumor. NY State J Med 85:110–111
5.
go back to reference Puschot J, Sampalis JS, Beaudet F et al (1991) Adult Still’s disease: manifestations, disease course and outcome in 62 patients. Medicine 70:118–136 Puschot J, Sampalis JS, Beaudet F et al (1991) Adult Still’s disease: manifestations, disease course and outcome in 62 patients. Medicine 70:118–136
6.
go back to reference Garrote F, Marco J, Obeso G, Rodriguez E, del Ser T (1993) Aseptic meningitis and focal central nervous system involvement in a case of adult onset Still’s disease. J Rheumatol 20:765–767PubMed Garrote F, Marco J, Obeso G, Rodriguez E, del Ser T (1993) Aseptic meningitis and focal central nervous system involvement in a case of adult onset Still’s disease. J Rheumatol 20:765–767PubMed
7.
go back to reference Gass JDM (1997) Purtscher’s retinopathy. In: Gass JDM (ed) Stereoscopic atlas of macular disease. Mosby, St Louis, pp 746–747 Gass JDM (1997) Purtscher’s retinopathy. In: Gass JDM (ed) Stereoscopic atlas of macular disease. Mosby, St Louis, pp 746–747
8.
go back to reference Behrens-Baumann W, Scheurer G, Schroer H (1992) Pathogenesis of Purtscher’s retinopathy: an experimental study. Graefes Arch Clin Exp Ophthalmol 230:286–291PubMedCrossRef Behrens-Baumann W, Scheurer G, Schroer H (1992) Pathogenesis of Purtscher’s retinopathy: an experimental study. Graefes Arch Clin Exp Ophthalmol 230:286–291PubMedCrossRef
9.
go back to reference Jacob HS, Craddock PR, Hammerschmidt DE, Moldow CF (1980) Complement-induced granulocyte aggregation: an unsuspected mechanism of disease. N Engl J Med 302:789–794PubMedCrossRef Jacob HS, Craddock PR, Hammerschmidt DE, Moldow CF (1980) Complement-induced granulocyte aggregation: an unsuspected mechanism of disease. N Engl J Med 302:789–794PubMedCrossRef
Metadata
Title
Purtscher’s-like retinopathy as an initial presentation of adult-onset Still’s disease: a case report and review of the literature
Authors
Feng-Cheng Liu
Shang-Yi Chiang
Deh-Ming Chang
Jenn-Haung Lai
Tsung-Yun Hou
Chen-Hung Chen
Publication date
01-07-2007
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 7/2007
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-006-0345-8

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