Cytomegalovirus retinitis in a patient with dermatomyositis.
Cytomegalovirus (CMV) retinitis rarely occurs in patients with connective tissue disease. We present a rare case of CMV retinitis in a patient with dermatomyositis. A 38-year-old man was admitted due to blurred vision and floaters of right eye. He had been diagnosed with dermatomyositis and taken prednisolone and immunosuppressive agents for 10 months. He was diagnosed as having CMV retinitis based upon ophthalmologic examination, decreased CD4+T cell count, and positive IgM anti-CMV antibody. Intravenous ganciclovir was administrated with cessation of immunosuppressive agents for 40 days and the lesion did not progress. This is the first report of a CMV retinitis that developed in a patient with dermatomyositis.
Department of Internal Medicine, School of Medicine, Konkuk University, 4-12 Hwayang-dong, Gwangjin-gu, Seoul 143-729, South Korea.
Hae-Rim
HR
Kim
Sung-Dong
SD
Kim
Sang-Hyon
SH
Kim
Chong-Hyun
CH
Yoon
Sang-Heon
SH
Lee
Sung-Hwan
SH
Park
Ho-Youn
HY
Kim
D000328:Adult; D017726:Cytomegalovirus Retinitis / Q000209:etiology*; D003882:Dermatomyositis / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008297:Male
D007166:Immunosuppressive Agents