[Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)--a therapeutic dilemma].
OBJECTIVE
To present a rare idiopathic inflammation of the posterior segment of the eye - acute posterior multifocal placoid pigment epitheliopathy (APMPPE).


METHODS
A 17 years old male patient was referred to the Department of Ophthalmology of Medical College, Jagiellonian University in Krakow with the diagnosis of bilateral choroiditis of unknown etiology. The patient underwent the basic ophthalmological examination followed by fluorescein (FA) and indocyanine green (ICGA) angiography. Laboratory testing for Lyme disease, sarcoidosis and syphilis, as well as genetic testing, to determine the presence of HLA antigen complex, were performed


RESULTS
Based on the outcomes of performed investigations the definitive diagnosis of APMPPE was established. Systemic steroidotherapy was initiated due to rapid progression of the inflammatory changes, progression of the central visual field changes and profound visual acuity deterioration.


CONCLUSIONS
APMPPE is a rare, inflammatory and idiopathic eye disease with no clear indications for pharmacological therapy. However decision about necessity and sort of pharmacological therapy should be taken under consideration individually for each patient. ostra tylna wieloogniskowa plackowata epiteliopatia barwnikowa, steroidoterapia. acute posterior multifocal placoid pigment epitheliopathy, steroidotherapy.
Kubicka-Trzaska
Agnieszka
A
Z Katedry Okulistyki Kliniki Okulistyki i Onkologii Okulistycznej Uniwersytetu Jagiellońskiego Collegium Medicum w Krakowie.
Oleksy
Piotr
P
Karska-Basta
Izabella
I
Romanowska-Dixon
Bozena
B
D000208:Acute Disease; D000293:Adolescent; D002833:Choroiditis / Q000175:diagnosis* / Q000628:therapy*; D004396:Coloring Agents; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007208:Indocyanine Green; D008193:Lyme Disease / Q000175:diagnosis; D009887:Ophthalmoscopy; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012507:Sarcoidosis / Q000175:diagnosis; D013587:Syphilis / Q000175:diagnosis; D014792:Visual Acuity
D004396:Coloring Agents; D007208:Indocyanine Green