• Survey of ophthalmology · May 2010

    Case Reports

    Can't hear, can't see, and too sore to play.

    • Ryan A Scheurer, Gregory S Kosmorsky, Gary S Hoffman, Carol Farver, Michael S Lee, and Dean M Cestari.
    • Department of Ophthalmology, University of Minnesota, Minneapolis, MN, USA.
    • Surv Ophthalmol. 2010 May 1; 55 (3): 290-6.

    AbstractA 52-year-old man developed transient, migratory polyarthralgias in the presence of hearing loss. He then developed persistent leukocytosis and thrombocytosis. His initial transient, bilateral visual obscurations happened in context with bilateral disk edema and an enlarged blind spot. Visual symptoms progressed to vision loss and multiple branch retinal artery occlusions. It was not until later in the disease progression that gastrointestinal symptoms occurred. Electron microscopy of duodenal biopsies confirmed a diagnosis of Whipple disease.

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