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Multifocal Choroiditis and Acute Posterior Multifocal Placoid Pigment Epitheliopathy Occurring in the Same Patient
Arch Ophthalmol. 2004;122:1881-1882.
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The white spot syndromes are a group of idiopathic inflammatory diseases of the retina characterized by visual loss in association with areas of retinal whitening. This category includes diseases such as multifocal choroiditis (MFC), punctate inner choroidopathy, multiple evanescent white dot syndrome (MEWDS), serpiginous choroiditis, and acute posterior multifocal placoid pigment epitheliopathy (APMPPE). To our knowledge, no definite infectious or immune etiology has been proved for these various entities.1 There have been reports of 2 of these entities occurring in the same patient (acute macular neuroretinopathy and MEWDS2 and MFC and MEWDS3). Patients have been described as having overlapping features of these various conditions, eg, MEWDS and MFC. We describe a patient who at age 18 years showed findings consistent with APMPPE, with visual loss in both eyes. This resolved with a return of vision to 20/20 OU. Sixteen years later, he developed new symptoms and exhibited lesions of . . . [Full Text of this Article]Report of a Case
Comment
AUTHOR INFORMATION
Jeevan R. Mathura, Jr, MD;
Lee M. Jampol, MD;
Mark J. Daily, MD
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