Sudden onset blindness treated with pulse steroid therapy in a patient with microscopic polyangiitis

  • Yoshiro Horai
  • Tomoya Miyamura
  • Karin Shimada
  • Soichiro Takahama
  • Rumi Minami
  • Masahiro Yamamoto
  • Eiichi Suematsu
Case Report
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Abstract

We report a 71-year-old male with microscopic polyangiitis (MPA) who developed sudden-onset, progressive, bilateral visual loss associated with a relapse of MPA symptoms. The patient was referred to our hospital, and treated with intravenous pulse steroid therapy and high-dose oral prednisolone. Although the right eye remained vision deficient, visual acuity in the left eye recovered. Ocular manifestations of MPA are quite uncommon. This case emphasizes the necessity of early detection and initiation of prompt therapy where ocular manifestations of MPA occur.

Keywords

Acute blindness Pulse steroid therapy Microscopic polyangiitis 

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Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Yoshiro Horai
    • 1
  • Tomoya Miyamura
    • 1
  • Karin Shimada
    • 1
  • Soichiro Takahama
    • 1
  • Rumi Minami
    • 1
  • Masahiro Yamamoto
    • 1
  • Eiichi Suematsu
    • 1
  1. 1.Department of Internal Medicine and Rheumatology, Clinical Research Center, National Hospital OrganizationKyushu Medical CenterFukuokaJapan

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