title: Acute posterior multifocal placoid pigment epitheliopathy and scleritis in a patient with pANCA-positive systemic vasculitis.
abstract: OBJECTIVE
  To present acute posterior multifocal placoid pigment epitheliopathy and scleritis occurring in association with pANCA (perinuclear antineutrophil cytoplasmic antibody)-positive systemic vasculitis.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 69-year-old woman developed bilateral acute posterior multifocal placoid pigment epitheliopathy concurrent with rapidly progressive glomerulonephritis and bronchioalveolitis in both lungs.
  
  
  RESULTS
  The patient showed a high titer of pANCA (myeloperoxidase-ANCA). She then developed scleritis in the left eye and multiple gastric ulcers.
  
  
  CONCLUSIONS
  Acute posterior multifocal placoid pigment epitheliopathy and scleritis in this patient are manifestations that are part of pANCA-positive systemic vasculitis. This association further supports that acute posterior multifocal placoid pigment epitheliopathy is caused by vasculitic inflammation of the choriocapillaris.
authors.affiliation: Department of Ophthalmology, Okayama University Medical School, Okayama City, Japan. matsuot@cc.okayama-u.ac.jp
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Matsuo
authors.forename: Toshiko
authors.initials: T
authors.lastname: Horikoshi
authors.forename: Chieko
authors.initials: C
authors.lastname: Nagai
mesh_terms: D000208:Acute Disease; D000368:Aged; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000276:immunology*; D001982:Bronchial Diseases / Q000209:etiology; D005260:Female; D005921:Glomerulonephritis / Q000209:etiology; D006801:Humans; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D015423:Scleritis / Q000175:diagnosis / Q000209:etiology*; D013276:Stomach Ulcer / Q000209:etiology; D014657:Vasculitis / Q000150:complications* / Q000276:immunology*
chemical_list: D019268:Antibodies, Antineutrophil Cytoplasmic