title: [Atypical tapetoretinal degeneration simulating a neurologic syndrome].
abstract: 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.
authors.forename: A
authors.initials: A
authors.lastname: Brezin
authors.forename: A
authors.initials: A
authors.lastname: Guigui
authors.forename: L
authors.initials: L
authors.lastname: Laroche
authors.forename: P
authors.initials: P
authors.lastname: Humbert
authors.forename: J P
authors.initials: JP
authors.lastname: Nordmann
authors.forename: H
authors.initials: H
authors.lastname: Saraux
mesh_terms: 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
vernacular_title: Dégénérescence tapéto-rétinienne atypique simulant un syndrome neurologique.