title: Purtscher-like retinopathy in nephrotic syndrome associated with mild chronic renal failure.
abstract: 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.
authors.affiliation: Department of Pediatric Nephrology, Medical University, Wrocław, Poland. zwolin@nefped.am.wroc.pl
authors.forename: D
authors.initials: D
authors.lastname: Zwolińska
authors.forename: A
authors.initials: A
authors.lastname: Medyńska
authors.forename: A
authors.initials: A
authors.lastname: Galar
authors.forename: A
authors.initials: A
authors.lastname: Turno
mesh_terms: 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
chemical_list: D012709:Serum Albumin; D008775:Methylprednisolone