[Atypical tapetoretinal degeneration simulating a neurologic syndrome].
We report the case of a 57-year-old woman with progressive bilateral visual acuity loss, presumed during ten years to be secondary to a neurological disease. Ophthalmological examination showed for both eyes pallor of the optic discs and arteriolar narrowing. Periphery was normal, without pigment clumping. Fluorescein angiography showed a widespread irregular hypopigmentation and discovered a bilateral macular edema. Abnormal rod function was confirmed by electroretinography. A review of the literature data shows the variety of clinical symptoms in patients with retinitis pigmentosa and the frequency of atypical non-pigmented forms. Those forms are usually considered as early stages of the disease. Besides, macular lesions, and macular edema in particular, are frequently reported.
Brezin
A
A
Guigui
A
A
Laroche
L
L
Humbert
P
P
Nordmann
J P
JP
Saraux
H
H
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008268:Macular Degeneration / Q000175:diagnosis; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis*; D012174:Retinitis Pigmentosa / Q000175:diagnosis* / Q000503:physiopathology
Dégénérescence tapéto-rétinienne atypique simulant un syndrome neurologique.