Recurrent secondary frosted branch angiitis after toxoplasmosis vasculitis.
OBJECTIVE
To describe a case of recurrent frosted branch angiitis after treatment of ocular toxoplasmosis.


METHODS
In a 6-year-old boy, we found perivascular, creamy, patchy, retinal sheathing in both eyes without any focal necrotizing retinochoroiditis or scarring. IgM antibodies for toxoplasma gondii were also found. The patient was treated with antitoxoplasmosis medication and a systemic steroid.


RESULTS
Several years after treatment of the toxoplasmosis, frosted branch angiitis occurred twice without any retinal scarring or serological evidence of toxoplasmosis. After systemic steroid therapy, the angiitis improved without further complications.


CONCLUSIONS
Toxoplasmic retinal vasculitis should be considered as a cause of frosted branch angiitis.
Oh
Jaeryung
J
Department of Ophthalmology, Anam Hospital, Korea University College of Medicine, 126-1 Anam-dong 5-ga, Sungbuk-gu, Seoul 136-705, Korea. ojr4991@yahoo.co.kr
Huh
Kuhl
K
Kim
Seong Woo
SW
D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002648:Child; D002825:Chorioretinitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004359:Drug Therapy, Combination; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D008297:Male; D011739:Pyrimethamine / Q000627:therapeutic use; D012008:Recurrence; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014126:Toxoplasmosis, Ocular / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000981:Antiprotozoal Agents; D005938:Glucocorticoids; D002955:Leucovorin; D011739:Pyrimethamine