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Hemolytic Uremic Syndrome Associated With Purtscher-like Retinopathy
Arch Ophthalmol. 1998;116:1119-1120.
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Purtscher reported the findings of cotton-wool spots, hemorrhages, and edema in the posterior fundus of 2 patients who experienced severe head trauma. Later, angiopathica retinae traumatica,1 or Purtscher retinopathy, was described following long-bone fractures, rapid deceleration injuries, and compressive injuries to the trunk. Subsequently, Purtscher-like retinopathy was observed in atraumatic cases such as pancreatitis, collagen vascular disease, amniotic fluid embolism, retrobulbar anesthesia, chronic renal failure, and thrombotic thrombocytopenia purpura.2 We report a case of Purtscher-like retinopathy in a patient with hemolytic uremic syndrome (HUS).
Report of a Case
A 31-month-old boy was admitted to a hospital with a history of pallor, lethargy, and oliguria preceded by gastroenteritis. After experiencing 2 brief tonic-clonic seizures, he was transferred to the pediatric intensive care unit where examination revealed a lethargic child with scattered petechiae and periorbital and peripheral edema. The child was anuric. Computed tomography of his brain was normal on admission. Laboratory findings revealed microcytic hemolytic . . . [Full Text of this Article]
Comment
Corresponding author: Michael L. Klein, MD, 3375 Terwilliger Blvd, Casey Eye Institute, Oregon Health Sciences University, Portland, OR 97201-4197.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Purtscher Retinopathy as the Initial Sign of Thrombotic Thrombocytopenic Purpura/Hemolytic Uremic Syndrome
Patel et al.
Arch Ophthalmol 2001;119:1388-1389.
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