Location of Repository

Peripheral capillary non-perfusion in asymptomatic Waldenström's macroglobulinemia

By Papaconstantinou Dimitris, Georgalas Ilias, Kotsolis Athanasios, Koutsandrea Chryssanthi and Ladas Ioannis

Abstract

<p>Abstract</p> <p>Background</p> <p>To report the rare association of peripheral retinal ischemia in a patient with Waldenström's macroglobulinemia.</p> <p>Case Presentation</p> <p>A 39-year old man with a recent diagnosis of asymptomatic Waldenström's macroglobulinemia (WM) was referred from his physician for ocular evaluation. The fundus examination in his right eye (RE) revealed very mild central vein dilation, while retinal hemorrhages associated with microaneurismal alterations of the vascular plexus were detected at the temporal periphery. Fluoroscein angiography of his RE revealed an extended area of capillary dropout distal to the microaneurismal lesions. In our patient with WM an extensive area of capillary non-perfusion, in the absence of severe involvement of the posterior pole was documented; this association to the best of our knowledge has never been reported before.</p> <p>Conclusion</p> <p>Although the incidence of the disease is rare, meticulous examination of the retinal periphery should be performed in all patients with WM and vice versa the differential diagnosis of peripheral retinal ischemia of unknown origin should include an investigation to rule out asymptomatic Waldenström's macroglobulinemia.</p

Topics: Ophthalmology, RE1-994, Medicine, R, DOAJ:Ophthalmology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: BioMed Central
Year: 2010
DOI identifier: 10.1186/1471-2415-10-30
OAI identifier: oai:doaj.org/article:161db87e1a8c4514b0ee63dafb779067
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/1471-2415 (external link)
  • http://www.biomedcentral.com/1... (external link)
  • https://doaj.org/article/161db... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.