title: Serpiginous choroiditis treated in a stepladder approach.
abstract: We present a case of serpiginous choroiditis in a 46-year-old graphic designer. The development of multiple scotomata urged the use of immunosuppressants although his visual acuity remained 20/20. A successful combination of corticosteroids, azathioprine and methotrexate was used in a stepladder approach. No new retinal lesions developed until the end of follow-up (18 months). Thanks to his profession, the patient enabled us to give an unique representation of his visual symptoms.
authors.affiliation: Department of Ophthalmology, UZ Leuven, Leuven, Belgium.
authors.forename: J A
authors.initials: JA
authors.lastname: Depla
authors.forename: J
authors.initials: J
authors.lastname: Van Calster
mesh_terms: D001379:Azathioprine / Q000008:administration & dosage*; D002833:Choroiditis / Q000188:drug therapy*; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D005492:Folic Acid / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage*; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D012008:Recurrence
chemical_list: D005492:Folic Acid; D001379:Azathioprine; D008775:Methylprednisolone; D008727:Methotrexate