• Rev Med Interne · Apr 2024

    Review Case Reports

    [Anterior orbital ischemia secondary to type 1 cryoglobulinemia: A case report and literature review].

    • A Wyttynck, M Raby, F Le Gall, A Dupuy, M Soethoudt, and M Fouchard.
    • Service de médecine interne, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. Electronic address: morel.alix@gmail.com.
    • Rev Med Interne. 2024 Apr 1; 45 (4): 239243239-243.

    IntroductionType 1 cryoglobulinemia is characterized by a large number of clinical signs. The lack of specificity of these signs can make diagnosis difficult. Ocular manifestations are rarely described across medical literature. Only 15 cases of ophthalmological involvement secondary to cryoglobulinaemia have been reported.CommentWe report the case of a 69-year-old patient with cutaneous type 1 cryoglobulinaemia. He presented with bilateral anterior segment ischemia without retinal involvement with unilateral neovascularisation. Treatment of the B lymphocyte clone with rituximab and bendamustine and plasma exchange were initiated with successfully. Two similar cases describing ischaemic damage to the iris during type 1 cryoglobulinemia have been reported in the literature.ConclusionIrial ischaemia should be considered as a potential in type 1 cryoglobulinaemia.Copyright © 2024 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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