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An ocular cat-scratch disease patient positive for cytoplasmic anti-neutrophil cytoplasmic antibody

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Abstract.

Background: We report a case of ocular cat-scratch disease with permanent vision reduction in a patient who was cytoplasmic anti-neutrophil cytoplasmic antibody (C-ANCA) positive. Methods: Case report and review of the literature. Results: While taking steroids and antibiotics, a 52-year-old man with uveitis associated with cat-scratch disease developed retinal vein occlusion and a macular exudate. His final visual acuity was poor because of residual macular degeneration and optic atrophy. Serum C-ANCA increased and decreased in parallel with ocular inflammatory activity. Conclusion: C-ANCA is an indicator of vasculitis and may be useful as an indicator of severe cat-scratch disease.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan, , , , ,

    Harumi Fukushima, Jiro Numaga, Satoshi Kato & Hidetoshi Kawashima

  2. Tokyo Teishin Hospital, Tokyo, Japan, , , , ,

    Miwako Yoshimoto

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  1. Harumi Fukushima
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  2. Jiro Numaga
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  3. Miwako Yoshimoto
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  4. Satoshi Kato
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  5. Hidetoshi Kawashima
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Fukushima, H., Numaga, J., Yoshimoto, M. et al. An ocular cat-scratch disease patient positive for cytoplasmic anti-neutrophil cytoplasmic antibody. Graefe's Arch Clin Exp Ophthalmol 239, 882–885 (2001). https://doi.org/10.1007/s004170100374

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  • DOI: https://doi.org/10.1007/s004170100374

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