Sunday, March 31, 2019

APMPPE acute posterior mulitofocal placoid pigment epitheliopathy

chorioretinal disease of the young with strokes and aseptic meningitis

white dot syndromes
associated with TB and many other infections and associations
retinal abnormalities after return of vision
rare CNS involvement
rapid bilateral central vision either simultaneously or sequentially
choroidal vasculitis

Eye findings
anterior and posterior uveitis
papillities
RAPD
serous detachment, edema, hemorrhages and episcleritis
CRVO
revascularization
antecedent vaccinations
41 percent have prodromic flu
association with Harada disease
MS like disease
pseudotumor

male = female but more men get CNS complications that include

aseptic meningitis
lymphocytic pleocytosis and increased protein

territorial strokes esp PCA but also MCA and deep
PACNS
granulomatous angiitis
treat with steroids

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