Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome

Yuji Kumano,1 Noriko Yoshida,2 Satoru Fukuyama,3 Masanori Miyazaki,2 Hiroshi Enaida,2 Takaaki Matsui11Ohshima Hospital of Ophthalmology, Fukuoka, 2Department of Ophthalmology, 3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanAbstrac...

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Autores principales:	Miyazaki M, Enaida H, Matsui T, Kumano Y, Yoshida N, Fukuyama S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f81d4ff40b20423f9bff7fca914a32d9
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spelling	oai:doaj.org-article:f81d4ff40b20423f9bff7fca914a32d92021-12-02T05:14:46ZCentral retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome1177-54671177-5483https://doaj.org/article/f81d4ff40b20423f9bff7fca914a32d92012-07-01T00:00:00Zhttp://www.dovepress.com/central-retinal-artery-occlusion-in-a-patient-with-anca-negative-churg-a10561https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Yuji Kumano,1 Noriko Yoshida,2 Satoru Fukuyama,3 Masanori Miyazaki,2 Hiroshi Enaida,2 Takaaki Matsui11Ohshima Hospital of Ophthalmology, Fukuoka, 2Department of Ophthalmology, 3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanAbstract: Ocular involvement in Churg-Strauss syndrome is infrequent. We describe the case of a 54-year-old woman with eosinophilia and involvement of the respiratory tract, skin, and peripheral nervous system, fulfilling the American College of Rheumatology criteria for Churg-Strauss syndrome. The patient presented with acute, painless vision loss in her right eye. Central retinal artery occlusion (CRAO) without accompanying retinal vasculitis was diagnosed by angiographic findings and funduscopic findings of retinal whitening with a cherry-red spot. Although her antineutrophil cytoplasmic antibody (ANCA) status was negative, CRAO was thought to be an ocular manifestation of Churg-Strauss syndrome, and appropriate treatment was planned. She was treated with high-dose corticosteroids and anticoagulant therapy. Her macular edema improved, but visual recovery was poor. Specific therapy to alter inflammation, blood coagulation, and rheology reportedly plays an important role in ANCA-positive patients with Churg-Strauss syndrome who develop CRAO. Regardless of ANCA status, high-dose corticosteroids should be considered for CRAO in patients with Churg-Strauss syndrome, as discussed in this case.Keywords: CRAO, ANCA, Churg-Strauss syndromeMiyazaki MEnaida HMatsui TKumano YYoshida NFukuyama SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1225-1228 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Miyazaki M Enaida H Matsui T Kumano Y Yoshida N Fukuyama S Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
description	Yuji Kumano,1 Noriko Yoshida,2 Satoru Fukuyama,3 Masanori Miyazaki,2 Hiroshi Enaida,2 Takaaki Matsui11Ohshima Hospital of Ophthalmology, Fukuoka, 2Department of Ophthalmology, 3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanAbstract: Ocular involvement in Churg-Strauss syndrome is infrequent. We describe the case of a 54-year-old woman with eosinophilia and involvement of the respiratory tract, skin, and peripheral nervous system, fulfilling the American College of Rheumatology criteria for Churg-Strauss syndrome. The patient presented with acute, painless vision loss in her right eye. Central retinal artery occlusion (CRAO) without accompanying retinal vasculitis was diagnosed by angiographic findings and funduscopic findings of retinal whitening with a cherry-red spot. Although her antineutrophil cytoplasmic antibody (ANCA) status was negative, CRAO was thought to be an ocular manifestation of Churg-Strauss syndrome, and appropriate treatment was planned. She was treated with high-dose corticosteroids and anticoagulant therapy. Her macular edema improved, but visual recovery was poor. Specific therapy to alter inflammation, blood coagulation, and rheology reportedly plays an important role in ANCA-positive patients with Churg-Strauss syndrome who develop CRAO. Regardless of ANCA status, high-dose corticosteroids should be considered for CRAO in patients with Churg-Strauss syndrome, as discussed in this case.Keywords: CRAO, ANCA, Churg-Strauss syndrome
format	article
author	Miyazaki M Enaida H Matsui T Kumano Y Yoshida N Fukuyama S
author_facet	Miyazaki M Enaida H Matsui T Kumano Y Yoshida N Fukuyama S
author_sort	Miyazaki M
title	Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
title_short	Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
title_full	Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
title_fullStr	Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
title_full_unstemmed	Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome
title_sort	central retinal artery occlusion in a patient with anca-negative churg-strauss syndrome
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/f81d4ff40b20423f9bff7fca914a32d9
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Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome

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