[Periarteritis nodosa with heart valve disease disclosed by occlusion of the central artery of the retina].
We report a case of periarteritis nodosa revealed by blindness due to occlusion of the central retinal artery. The disease appeared after a serous otitis and was accompanied by thrombocytosis. Its outcome was favourable under corticosteroid therapy, but it was complicated by aortic valve regurgitation. Lesions of fibrinoid necrosis were found on the aortic cusps removed during surgical replacement. It seems highly probable that the ocular and valvular lesions were specific, although this cannot be directly demonstrated. The case presented here is exceptional, and the relevant literature is reviewed.
Laraki
R
R
Service de médecine interne, Hôpital Saint-Antoine, Paris.
Lebas
J
J
Bruneval
P
P
Baudrimont
M
M
Cabane
J
J
Giral
P
P
Wattiaux
M J
MJ
Picard
O
O
Imbert
J C
JC
D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000473:pathology; D001791:Blood Platelet Disorders / Q000150:complications; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications / Q000473:pathology; D010034:Otitis Media with Effusion / Q000209:etiology; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000473:pathology; D015356:Retinal Artery Occlusion / Q000209:etiology*
Périartérite noueuse avec atteinte valvulaire cardiaque révélée par une occlusion de l'artère centrale de la rétine.