Purtscher-like retinopathy in nephrotic syndrome associated with mild chronic renal failure.
A sudden loss of vision attributable to Purtscher-like retinopathy occurred in a 4-year-old boy with focal segmental glomerulosclerosis and nephrotic syndrome as well as mild chronic renal failure. This retinopathy was bilateral. After treatment with intravenous methylprednisolone, infusion of 20% albumin, and low molecular weight heparin (nadroparin calcium), his visual acuity improved within 3 days. Ischemic retinal blanching and hemorrhages gradually disappeared. The pathogenesis of this disorder is unknown.
Zwolińska
D
D
Department of Pediatric Nephrology, Medical University, Wrocław, Poland. zwolin@nefped.am.wroc.pl
Medyńska
A
A
Galar
A
A
Turno
A
A
D002675:Child, Preschool; D005451:Fluorescein Angiography; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009404:Nephrotic Syndrome / Q000150:complications*; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012166:Retinal Hemorrhage / Q000188:drug therapy / Q000209:etiology; D012709:Serum Albumin / Q000627:therapeutic use; D014792:Visual Acuity
D012709:Serum Albumin; D008775:Methylprednisolone