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International Ophthalmology

, Volume 39, Issue 2, pp 451–453 | Cite as

Retinal vasculitis associated with cutaneous leukocytoclastic vasculitis

  • Soumyava BasuEmail author
  • Ruchi Mittal
Case Report

Abstract

Introduction

To report a case of retinal vasculitis associated with cutaneous leukocytoclastic vasculitis.

Methods

Retrospective chart review.

Results

A 28-year-old man, who initially presented with occlusive retinal vasculitis and vitreous hemorrhage in right eye that resolved with sectoral photocoagulation. Laboratory investigations for tuberculosis, sarcoidosis, syphilis and sickle cell disease were negative. Past history included recent diagnosis of Enterobacter epididymo-orchitis and multiple red nodules on skin of forearm. Fourteen months later, he developed active retinal vasculitis in right eye and recurrent nodules on forearm. Skin biopsy revealed neutrophilic infiltrates in and around dermal vessels with destruction of vessel walls leading to scattered neutrophils, lymphocytes and histiocytes between collagen bundles, suggestive of leukocytoclastic vasculitis. Both skin and ocular lesions resolved with oral corticosteroid and methotrexate therapy and did not recur over a six-year period.

Conclusion

We have reported the first case of clinically manifest retinal vasculitis, associated with a common form of cutaneous vasculitis.

Keywords

Retinal vasculitis Leukocytoclastic Cutaneous Epididymo-orchitis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Author contributions

SB contributed to collection and interpretation of data, drafting, revision and final approval of manuscript. RM helped in interpretation of data, revision and final approval of manuscript.

References

  1. 1.
    Koutkia P, Mylonakis E, Rounds S, Erickson A (2001) Leucocytoclastic vasculitis: an update for the clinician. Scand J Rheumatol 30:315–322CrossRefGoogle Scholar
  2. 2.
    Tsai JC, Forster DJ, Ober RR, Rao NA (1993) Panuveitis and multifocal retinitis in a patient with leucocytoclastic vasculitis. Br J Ophthalmol 77:318–320CrossRefGoogle Scholar
  3. 3.
    Sanchez NP, Winkelmann RK, Schroeter AL, Dicken CH (1982) The clinical and histopathologic spectrums of urticarial vasculitis: study of forty cases. J Am Acad Dermatol 7:599–605CrossRefGoogle Scholar
  4. 4.
    Corwin JM, Baum J (1982) Iridocyclitis in two patients with hypocomplementemic cutaneous vasculitis. Am J Ophthalmol 94:111–113CrossRefGoogle Scholar
  5. 5.
    Ryan LM, Kozin F, Eifernan R (1978) Immune complex uveitis: a case. Ann Intern Med 88:62–63CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2017

Authors and Affiliations

  1. 1.Retina and Uveitis ServicesL V Prasad Eye InstitutePatia, BhubaneswarIndia
  2. 2.Dalmia Ophthalmic Pathology ServicesL V Prasad Eye InstituteBhubaneswarIndia

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