Kyrieleis plaques associated with acute retinal necrosis from herpes simplex virus type 2.
OBJECTIVE
To present the case of a 19-year-old woman with acute retinal necrosis syndrome due to herpes simplex virus type 2, who developed segmental periarterial (Kyrieleis) plaques six and one half weeks into her clinical course.


METHODS
Retrospective case report.


METHODS
Single patient with the diagnosis of acute retinal necrosis syndrome.


RESULTS
The patient's vitreous biopsy was positive by polymerase chain reaction for herpes simplex virus type 2.


CONCLUSIONS
Kyrieleis plaques have been found in the setting of toxoplasmosis, tuberculosis, syphilis, rickettsial disease, herpes zoster virus, intraocular lymphoma, and idiopathic branch retinal artery occlusions. The differential diagnosis for these periarterial plaques should also include herpes simplex virus type 2.
From the *Department of Ophthalmology, University of South Florida, College of Medicine, Tampa, Florida; and †St. Luke's Cataract and Laser Institute, Tarpon Springs, Florida.
Matthew T
MT
Witmer
Grace A
GA
Levy-Clarke
Bradley D
BD
Fouraker
Brian
B
Madow