Purtscher-like retinopathy in a paediatric patient with haemolytic uraemic syndrome: A case report and literature review.

F Benvenuto, S Guillen, L Marchiscio, J Falbo, A Fandiño

Journal: Archivos de la Sociedad Espanola de Oftalmologia 2021;96(11):607-610

PMID: 34756284

Full Text on Elsevier Science View on PubMed

Abstract

An 8-year-old boy presented with fever, vomits, bloody diarrhoea, and blurred vision. The patient was diagnosed with Haemolytic Uraemic Syndrome (HUS) due to the symptoms and a positive Verotoxin stool test. Funduscopic examination showed retinal involvement in both eyes, peri-papillary paleness, retinal haemorrhages, and soft "Purtscher Fleckens" exudates. A favourable outcome was achieved after hospital admission and systemic treatment. Dialysis treatment was not needed due the preserved diuresis. Although Purtscher-like retinopathy is very uncommon, ocular examination is mandatory in patients with pancreatitis, autoimmune diseases, and thrombotic microangiopathies, such as HUS.

Address: Ophthalmology Service - SAMIC Pediatric, Hospital «Prof. Dr. Juan P. Garrahan», Buenos Aires, Argentina. Electronic address: [email protected].; Ophthalmology Service - SAMIC Pediatric, Hospital «Prof. Dr. Juan P. Garrahan», Buenos Aires, Argentina.

DOI: 10.1016/j.oftale.2020.10.007

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MeSH Terms: Child, Hemolytic-Uremic Syndrome, Humans, Male, Renal Dialysis, Retina, Retinal Diseases, Retinal Hemorrhage