Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?

A 16-year-old girl was referred as retinitis and vasculitis post-typhoid fever. Fundus examination revealed bilateral pseudo-sheathing, scattered hemorrhages with retinal infiltrates. Wide-field fundus fluorescein angiography (FFA) showed peripheral vascular hyperfluorescence; 55° FFA images showed...

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Main Authors: Ankush Kawali, Padmamalini Mahendradas, Sanjay Srinivasan, Rohit Shetty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=9;spage=2017;epage=2019;aulast=Kawali
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author Ankush Kawali
Padmamalini Mahendradas
Sanjay Srinivasan
Rohit Shetty
author_facet Ankush Kawali
Padmamalini Mahendradas
Sanjay Srinivasan
Rohit Shetty
author_sort Ankush Kawali
collection DOAJ
description A 16-year-old girl was referred as retinitis and vasculitis post-typhoid fever. Fundus examination revealed bilateral pseudo-sheathing, scattered hemorrhages with retinal infiltrates. Wide-field fundus fluorescein angiography (FFA) showed peripheral vascular hyperfluorescence; 55° FFA images showed a “firecracker-like” peripheral vasculature, but a closer look revealed miliary microaneurysms (MAs). Peripheral smear examination clinched the diagnosis of chronic myeloid leukemia. MAs on FFA in leukemic retinopathy have been frequently described in the literature. Our report emphasizes its presence, miliary nature, and need for closer inspection of FFA images. We believe that this angiographic sign has potential to become one of the imaging biomarkers of leukemic retinopathy.
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spelling doaj.art-65e2bdc169a144dc8cfdb42b87099c042022-12-21T19:48:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-016892017201910.4103/ijo.IJO_2375_19Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?Ankush KawaliPadmamalini MahendradasSanjay SrinivasanRohit ShettyA 16-year-old girl was referred as retinitis and vasculitis post-typhoid fever. Fundus examination revealed bilateral pseudo-sheathing, scattered hemorrhages with retinal infiltrates. Wide-field fundus fluorescein angiography (FFA) showed peripheral vascular hyperfluorescence; 55° FFA images showed a “firecracker-like” peripheral vasculature, but a closer look revealed miliary microaneurysms (MAs). Peripheral smear examination clinched the diagnosis of chronic myeloid leukemia. MAs on FFA in leukemic retinopathy have been frequently described in the literature. Our report emphasizes its presence, miliary nature, and need for closer inspection of FFA images. We believe that this angiographic sign has potential to become one of the imaging biomarkers of leukemic retinopathy.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=9;spage=2017;epage=2019;aulast=Kawalicmlfluorescein angiographyleukemialeukemic retinopathymiliary microaneurysm
spellingShingle Ankush Kawali
Padmamalini Mahendradas
Sanjay Srinivasan
Rohit Shetty
Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
Indian Journal of Ophthalmology
cml
fluorescein angiography
leukemia
leukemic retinopathy
miliary microaneurysm
title Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
title_full Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
title_fullStr Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
title_full_unstemmed Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
title_short Miliary microaneurysms: An angiographic biomarker of leukemic retinopathy?
title_sort miliary microaneurysms an angiographic biomarker of leukemic retinopathy
topic cml
fluorescein angiography
leukemia
leukemic retinopathy
miliary microaneurysm
url http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=9;spage=2017;epage=2019;aulast=Kawali
work_keys_str_mv AT ankushkawali miliarymicroaneurysmsanangiographicbiomarkerofleukemicretinopathy
AT padmamalinimahendradas miliarymicroaneurysmsanangiographicbiomarkerofleukemicretinopathy
AT sanjaysrinivasan miliarymicroaneurysmsanangiographicbiomarkerofleukemicretinopathy
AT rohitshetty miliarymicroaneurysmsanangiographicbiomarkerofleukemicretinopathy