Atypical end-stage birdshot retinochoroidopathy.
OBJECTIVE
To describe a patient with birdshot retinochoroidopathy with peripheral pigmentary changes mimicking a pseudo-retinitis pigmentosa fundus.


METHODS
A 60-year-old female patient was referred for bilateral uveitis. Fundus examination showed several creamy lesions in the choroid of both eyes. The patient was HLA-A29-positive. A diagnosis of birdshot choroidopathy was made and she was treated with immunosupressive agents. Six years later, a pigmentation of the retina was noted in both eyes, which progressed to a bone-shaped appearance.


CONCLUSIONS
Pigmentary reaction is a common feature of retinal lesions, although it rarely takes on a retinitis pigmentosa-like appearance. Furthermore, birdshot fundus lesions do not usually become highly hyperpigmented even after long-term evolution. This pigmentation may represent one type of the end-stage of birdshot retinochoroidopathy.
Willermain
François
F
Department of Ophthalmology, University of Aberdeen, Scotland, UK
Greiner
Kathrin
K
Forrester
John V
JV
D015862:Choroid Diseases / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D015234:HLA-A Antigens / Q000276:immunology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D012174:Retinitis Pigmentosa / Q000175:diagnosis
D015234:HLA-A Antigens; C035524:HLA-A29 antigen; D007166:Immunosuppressive Agents