Abstract
An acquired diffuse elastic tissue defect that resembles inherited pseudoxanthoma elasticum (PXE) has been noticed with a significant age-related frequency in hemoglobin disorders, especially β-thalassemia and has been held responsible for a number of complications observed in these cases, some of which are quite severe. We report here two patients with β-thalassemia intermedia, who presented with severe visual acuity impairment associated with angioid streaks, the typical ocular manifestation of PXE.
References
Gurwood AS, Mastrangelo DL. Understanding angioid streaks. J Am Optom Assoc. 1997;68:309–24.
Goodman G, von Sallman L, Holland MG. Ocular manifestations of sickle cell disease. Arch Ophthalmol. 1957;58:655.
Aessopos A, Farmakis D, Loukopoulos D. Elastic tissue abnormalities resembling pseudoxanthoma elasticum in beta thalassemia and the sickling syndromes. Blood. 2002;99:30–5.
Aessopos A, Samarkos M, Voskaridou E, et al. Arterial calcifications in beta-thalassemia. Angiology. 1998;49:137–43.
Aessopos A, Savvides P, Stamatelos G, et al. Pseudoxanthoma elasticum-like skin lesions and angioid streaks in beta-thalassemia. Am J Hematol. 1992;41:159–64.
Bercovitch L, Terry P. Pseudoxanthoma elasticum 2004. J Am Acad Dermatol. 2004;51:S13.
Baccarani-Contri M, Bachelli B, Boraldi F, et al. Characterization of pseudoxanthoma elasticum-like lesions in the skin of patients with beta thalassemia. J Am Acad Dermatol. 2001;44:33–9.
Hamlin N, Beck K, Bacchelli B, Cianculli P, Pasquali-Ronchetti I, Le Saux O. Acquired Pseudoxanthoma elasticum-like syndrome in beta-thalassemia patients. Br J Haematol. 2003;122:852–4.
Moriarty BJ, Webb DK, Serjeant GR. Treatment of subretinal neovascularization associated with angioid streaks in sickle cell retinopathy. Case report. Arch Ophthalmol. 1987;105:1327–8.
Gibson JM, Chaudhuri PR, Rosenthal AR. Angioid streaks in a case of beta thalassemia major. Br J Ophthalmol. 1983;67:29–31.
Aessopos A, Stamatelos G, Savvides P, et al. Angioid streaks in homozygous beta thalassemia. Am J Ophtalmol. 1989;108:356–9.
Theodossiadis G, Ladas I, Koutsandrea C, Damanakis A, Petroutsos G. Thalassemia and macular subretinal neovascularization. J Fr Ophthalmol. 1984;7:115–8.
Farmakis D, Horeftaki P, Kavouklis M, Aessopos A. Visual loss associated with angioid streaks in sickle thalassemia. Haematologica. 2005;90:ECR02.
Heimann H, Gelisken F, Wachtlin J, et al. Photodynamic therapy with verteporfin for choroidal neovascularization associated with angioid streaks. Graefes Arch Clin Exp Ophthalmol. 2005;243:1115–23.
Thomas MA, Dickinson JD, Melberg NS, et al. Visual results after removal of subfoveal choroidal neovascular membranes. Ophthalmology. 1994;101:1384–96.
Roth DB, Estafanous M, Lewis H. Macular translocation for subfoveal choroidal neovascularization in angioid streaks. Am J Ophthalmol. 2001;131:390–2.
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Aessopos, A., Floudas, C.S., Kati, M. et al. Loss of vision associated with angioid streaks in β-thalassemia intermedia. Int J Hematol 87, 35–38 (2008). https://doi.org/10.1007/s12185-007-0014-y
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DOI: https://doi.org/10.1007/s12185-007-0014-y