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Case Reports
Lessons of the month 2: Ocular manifestations and complications of hepatitis C infection.
- Sarah Lw Fang, Livia Teo, Cheng Yi Loo, James W Li, and Anindita Santosa.
- Changi General Hospital, Singapore sarah.fang@mohh.com.sg.
- Clin Med (Lond). 2021 Jul 1; 21 (4): e417e419e417-e419.
AbstractWe present a case of a man with hepatitis C with acute visual loss in his left eye over a 3-day period. Initial evaluation suggested a possible idiopathic orbital inflammatory syndrome as underlying cause for his symptoms. Initial response to systemic glucocorticoids and antiviral treatment were encouraging with improvement in the patient's visual acuity. After a period of loss to follow up and discontinuation of treatment, the patient re-presented with visual loss in his left eye. Re-evaluation confirmed a diagnosis of marginal zone B-cell lymphoma. This case illustrates the importance of considering the various ocular manifestations of hepatitis C.© Royal College of Physicians 2021. All rights reserved.
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