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Review Case Reports
[Purtscher-like retinopathy associated with adult onset still disease: Case report and review of the literature].
- T Escoda, J Seguier, L Swiader, A Briantais, M Sampo, J R Harlé, and J M Durand.
- Service de médecine Interne, hôpital La Timone, Assistance publique, hôpitaux de Marseille, Aix-Marseille université, 13005 Marseille, France. Electronic address: thomas.escoda@ap-hm.fr.
- Rev Med Interne. 2020 Apr 1; 41 (4): 279-283.
IntroductionPutscher-like retinopathy is a retinal disease that is similar to the syndrome initially described in 1910 by Purtscher, but occurring in a non-traumatic context.Case ReportWe describe a case of acute, Putscher-like retinopathy in a 48-year-old woman experiencing adult onset Still's disease. The diagnosis was based on fundus examination and fluorescein angiography. Based on a review of the literature, we discuss the current available data on the pathophysiology of this syndrome and its prognostic significance. The treatment remains controversial.ConclusionWhen visual functional signs appear during adult Still's disease, it is necessary to evoke Putscher-like retinopathy, and to ask for an ophthalmological expertise.Copyright © 2020 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
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