1. Unilateral acute maculopathy associated with adult onset hand, foot and mouth disease: case report and review of literature
- Author
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Kam Balaggan, Richard Wj Lee, Rupesh Agrawal, Kanchan Bhan, Peter Addison, and Carlos Pavesio
- Subjects
medicine.medical_specialty ,genetic structures ,Retinitis ,Fundus (eye) ,foot and mouth disease (HFMD) ,Posterior uveitis ,Ophthalmology ,Coxsackie virus ,medicine ,Macular scar ,medicine.diagnostic_test ,business.industry ,Brief Report ,Chorioretinitis ,medicine.disease ,Fluorescein angiography ,Hand ,eye diseases ,Infectious Diseases ,Autofluorescence ,Maculopathy ,Acute maculopathy ,Differential diagnosis ,business ,Retinopathy - Abstract
Background Acute maculopathy is a rare condition of unknown aetiology and Coxsackie virus is known to be associated with this macular chorioretinitis. Findings We report a case of acute unilateral maculopathy in a 35-year-old woman with concurrent hand foot and mouth disease. Furthermore, we display multimodal imaging (colour fundus photographs, autofluorescence, spectral domain ocular coherence tomography, fluorescein angiography and indocyanine green angiography) charting the course of the disease. The source of the virus was thought to be the patient's child. Empirical treatment with oral corticosteroids was commenced and the inflammation resolved, leaving a residual macular scar. Conclusions We present this case combined with the review of literature of adult onset Coxsackie-virus-associated retinitis. This case reiterates the fact that Coxsackie virus is an uncommon but important consideration in the differential diagnosis of chorioretinitis and posterior uveitis with atypical retinopathy.
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