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.
Kim
Hae-Rim
HR
Department of Internal Medicine, School of Medicine, Konkuk University, 4-12 Hwayang-dong, Gwangjin-gu, Seoul 143-729, South Korea.
Kim
Sung-Dong
SD
Kim
Sang-Hyon
SH
Yoon
Chong-Hyun
CH
Lee
Sang-Heon
SH
Park
Sung-Hwan
SH
Kim
Ho-Youn
HY
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