Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions

A previously healthy 22-year-old African American woman presented with bilateral vision loss associated with headache. Her ocular examination was significant for bilateral retinal arterial “boxcarring,” retinal whitening, retinal hemorrhages, and cherry red spots. She was diagnosed with bilateral ce...

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Main Authors: Steven S. Saraf, Yogin P. Patel, Ankit Desai, Uday R. Desai
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2015/206906
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author Steven S. Saraf
Yogin P. Patel
Ankit Desai
Uday R. Desai
author_facet Steven S. Saraf
Yogin P. Patel
Ankit Desai
Uday R. Desai
author_sort Steven S. Saraf
collection DOAJ
description A previously healthy 22-year-old African American woman presented with bilateral vision loss associated with headache. Her ocular examination was significant for bilateral retinal arterial “boxcarring,” retinal whitening, retinal hemorrhages, and cherry red spots. She was diagnosed with bilateral central retinal artery occlusions and was hospitalized due to concomitant diagnosis of stroke and hypercoagulable state. She was also found to be in heart failure and kidney failure. Rheumatology was consulted and she was diagnosed with catastrophic antiphospholipid syndrome in association with systemic lupus erythematosus. Approximately 7 months after presentation, the patient’s vision improved and remained stable at 20/200 and 20/80.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-311598891090473f99edbf14a606b9bc2025-02-03T07:23:52ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302015-01-01201510.1155/2015/206906206906Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery OcclusionsSteven S. Saraf0Yogin P. Patel1Ankit Desai2Uday R. Desai3Department of Ophthalmology, Henry Ford Hospital, Detroit, MI, USADepartment of Ophthalmology, Henry Ford Hospital, Detroit, MI, USADepartment of Ophthalmology, Henry Ford Hospital, Detroit, MI, USADepartment of Ophthalmology, Henry Ford Hospital, Detroit, MI, USAA previously healthy 22-year-old African American woman presented with bilateral vision loss associated with headache. Her ocular examination was significant for bilateral retinal arterial “boxcarring,” retinal whitening, retinal hemorrhages, and cherry red spots. She was diagnosed with bilateral central retinal artery occlusions and was hospitalized due to concomitant diagnosis of stroke and hypercoagulable state. She was also found to be in heart failure and kidney failure. Rheumatology was consulted and she was diagnosed with catastrophic antiphospholipid syndrome in association with systemic lupus erythematosus. Approximately 7 months after presentation, the patient’s vision improved and remained stable at 20/200 and 20/80.http://dx.doi.org/10.1155/2015/206906
spellingShingle Steven S. Saraf
Yogin P. Patel
Ankit Desai
Uday R. Desai
Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
Case Reports in Ophthalmological Medicine
title Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
title_full Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
title_fullStr Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
title_full_unstemmed Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
title_short Catastrophic Antiphospholipid Syndrome Presenting as Bilateral Central Retinal Artery Occlusions
title_sort catastrophic antiphospholipid syndrome presenting as bilateral central retinal artery occlusions
url http://dx.doi.org/10.1155/2015/206906
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