1. [Acute posterior multifocal placoid pigment epiteliopathy and neurological involvement in an elderly patient: case report and review].
- Author
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Mafrici M, Salomone M, Valente S, Gerace E, Trabucco P, Navarre S, Villain M, and Vingolo EM
- Subjects
- Acute Disease, Aged, Fluorescein Angiography, Humans, Male, Multifocal Choroiditis, Prednisolone therapeutic use, Prednisone therapeutic use, Choroiditis diagnosis, Choroiditis drug therapy, Pigment Epithelium of Eye pathology, Retinal Diseases drug therapy, Retinal Diseases pathology, Retinal Pigment Epithelium pathology
- Abstract
We report a rare case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) in an elderly patient and a review of the recent scientific literature. A 65-year-old Caucasian man, forty-five days after return from tropical travel he developed right-sided facial palsy with right hemiplegia, dysarthria and a positive Babinski sign. He started prednisone 90 mg/day. Clinical, laboratory and imaging examinations were reported. Five months later there was a complete neurological and ophthalmological recovery. Although APMPPE was described primarily in young adults, we report the first case of APMPPE associated with neurological involvement in an older patient with a complete restitutio ad integrum.
- Published
- 2014
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