Abstract
A 52-year-old man developed transient, migratory polyarthralgias in the presence of hearing loss. He then developed persistent leukocytosis and thrombocytosis. His initial transient, bilateral visual obscurations happened in context with bilateral disk edema and an enlarged blind spot. Visual symptoms progressed to vision loss and multiple branch retinal artery occlusions. It was not until later in the disease progression that gastrointestinal symptoms occurred. Electron microscopy of duodenal biopsies confirmed a diagnosis of Whipple disease.
Original language | English (US) |
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Pages (from-to) | 290-296 |
Number of pages | 7 |
Journal | Survey of Ophthalmology |
Volume | 55 |
Issue number | 3 |
DOIs | |
State | Published - May 2010 |
Bibliographical note
Funding Information:The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. This article was supported by an unrestricted grant from Research to Prevent Blindness, New York, NY , and the Lions Club of Minnesota .
Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
Keywords
- Bacterial
- Branch retinal artery occlusion
- Eye infections
- Leukocytosis
- Migratory polyarthralgias
- Tropheryma
- Vitritis
- Whipple disease