title: [Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)--a therapeutic dilemma].
abstract: 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.
authors.affiliation: Z Katedry Okulistyki Kliniki Okulistyki i Onkologii Okulistycznej Uniwersytetu Jagiellońskiego Collegium Medicum w Krakowie.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Kubicka-Trzaska
authors.forename: Piotr
authors.initials: P
authors.lastname: Oleksy
authors.forename: Izabella
authors.initials: I
authors.lastname: Karska-Basta
authors.forename: Bozena
authors.initials: B
authors.lastname: Romanowska-Dixon
mesh_terms: 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
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green