| Progressive confluent circumpapillary multiple evanescent white-dot syndrome. | |
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MedLine Citation:
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PMID: 10511044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe a morphologic variant of the multiple evanescent white-dot syndrome that can mimic other conditions. METHODS: We examined three patients with severe cases of unilateral multiple evanescent white-dot syndrome characterized by an atypical progressive circumpapillary discoloration of the fundus. RESULTS: The confluent circumpapillary lesion progressed toward or beyond the equator of the fundus, raising initial concern of a viral retinitis. However, pinpoint dots at the leading edge evolved into the typical wreath-like spots of multiple evanescent white-dot syndrome, which then coalesced into the advancing edge of a geographic retinitis or retinal pigment epitheliitis, before spontaneous resolution. CONCLUSION: Progressive geographic circumpapillary discoloration, appearing as a giant white spot, occurs rarely in severe cases of multiple evanescent white-dot syndrome. The distinctive appearance may suggest a disorder other than multiple evanescent white-dot syndrome, which can make initial diagnosis more difficult and lead to unnecessary or inappropriate testing and treatment. |
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Authors:
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J K Luttrull; M F Marmor; M Nanda |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of ophthalmology Volume: 128 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-10-08 Completed Date: 1999-10-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 378-80 Citation Subset: AIM; IM |
Affiliation:
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Department of Ophthalmology, School of Medicine, Stanford University, Stanford, California, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Disease Progression Female Fluorescein Angiography Fundus Oculi Humans Male Optic Disk / pathology* Retinal Diseases / diagnosis* Syndrome Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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