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Bilateral Cryptococcal Choroiditis
Howard F. Fine, MD, MHSc;
Margaret A. Chang, MD;
James P. Dunn, Jr, MD
Arch Ophthalmol. 2004;122:1726-1727.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 44-year-old African American woman with AIDS was examined because of blurry vision, photophobia, headaches, and a papular rash on the face, trunk, and extremities of 1 weeks duration. Her medical history included Pneumocystis carinii pneumonia, untreated Cryptococcus neoformans fungemia, recurrent episodes of Candida esophagitis, and hepatitis C infection. She was unable to comply with visual acuity or confrontational field testing. Intraocular pressure was 21 mm Hg OD and 54 mm Hg OS. Pupils were reactive without an afferent pupillary defect. External examination disclosed multiple cutaneous papules of the periorbital area and face (Figure 1). Slitlamp examination was significant for microcystic edema of the left cornea, but there was no anterior chamber inflammation or anterior vitritis. Dilated fundus examination showed multiple bilateral, yellow-white choroidal lesions with indistinct borders, approximately 0.5 to 1.5 disc diameters . . . [Full Text of this Article]COMMENT
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