title: Purtscher's-like retinopathy as an initial presentation of adult-onset Still's disease: a case report and review of the literature.
abstract: Adult-onset Still's disease is a multisystem inflammatory disorder of unknown etiology and is characterized by high, spiking fever, arthritis, evanescent maculopapular rash, myalgia, serositis, leukocytosis, and involvement of various organs including the eyes. The ocular manifestations have been described including orbital pseudotumor, ptosis, and diplopia with orbital pain but never Purtscher's-like retinopathy. We describe a 21-year-old male patient with adult-onset Still's disease who developed the Purtscher's-like retinopathy. To our knowledge, this is the first reported adult-onset Still's disease patient with Purtscher's-like retinopathy as the initial presentation.
authors.affiliation: Division of Rheumatology/Immunology/Allergy, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
authors.forename: Feng-Cheng
authors.initials: FC
authors.lastname: Liu
authors.forename: Shang-Yi
authors.initials: SY
authors.lastname: Chiang
authors.forename: Deh-Ming
authors.initials: DM
authors.lastname: Chang
authors.forename: Jenn-Haung
authors.initials: JH
authors.lastname: Lai
authors.forename: Tsung-Yun
authors.initials: TY
authors.lastname: Hou
authors.forename: Chen-Hung
authors.initials: CH
authors.lastname: Chen
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009887:Ophthalmoscopy; D011239:Prednisolone / Q000627:therapeutic use; D020551:Pulse Therapy, Drug; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016706:Still's Disease, Adult-Onset / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D014786:Vision Disorders / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone; D008775:Methylprednisolone