Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series
We described clinical and multimodal imaging findings in 4 patients with unilateral acute idiopathic maculopathy (UAIM) associated with hand, foot, and mouth disease. Four eyes of 4 patients (3 women and 1 man) with a mean age of 35 years (range: 24–40 years) were included. A bacillary detachment wa...
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Karger Publishers
2022-08-01
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Series: | Case Reports in Ophthalmology |
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Online Access: | https://www.karger.com/Article/FullText/525940 |
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author | Mickael Anjou Franck Fajnkuchen Nicolas Nabholz Sylvia Nghiem-Buffet Sarah Mrejen Audrey Giocanti-Aurégan |
author_facet | Mickael Anjou Franck Fajnkuchen Nicolas Nabholz Sylvia Nghiem-Buffet Sarah Mrejen Audrey Giocanti-Aurégan |
author_sort | Mickael Anjou |
collection | DOAJ |
description | We described clinical and multimodal imaging findings in 4 patients with unilateral acute idiopathic maculopathy (UAIM) associated with hand, foot, and mouth disease. Four eyes of 4 patients (3 women and 1 man) with a mean age of 35 years (range: 24–40 years) were included. A bacillary detachment was observed in 3 out of the 4 eyes and was strongly suspected in the remaining eye. This particular detachment was resolved within 5–10 days in our series. A choriocapillaris involvement was supported by the multimodal imaging findings. On indocyanine green angiography, a hypofluorescence was observed throughout the sequence, and OCT angiography showed a defect of the choriocapillaris perfusion. In this case series, a complete multimodal retinal assessment allowed identifying the choriocapillaris as the primary tissue involved in UAIM associated with coxsackie virus infection. In 3 out of our 4 cases, a bacillary detachment with a transient evolution was identified. |
first_indexed | 2024-04-11T20:36:35Z |
format | Article |
id | doaj.art-e30801e6f2be4320b325a769b488169e |
institution | Directory Open Access Journal |
issn | 1663-2699 |
language | English |
last_indexed | 2024-04-11T20:36:35Z |
publishDate | 2022-08-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Ophthalmology |
spelling | doaj.art-e30801e6f2be4320b325a769b488169e2022-12-22T04:04:21ZengKarger PublishersCase Reports in Ophthalmology1663-26992022-08-0113261762510.1159/000525940525940Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case SeriesMickael Anjou0https://orcid.org/0000-0003-0254-4821Franck Fajnkuchen1Nicolas Nabholz2Sylvia Nghiem-Buffet3Sarah Mrejen4Audrey Giocanti-Aurégan5Ophthalmology Department, APHP, Hôpital Avicenne, Paris 13 University, Bobigny, FranceOphthalmology Department, APHP, Hôpital Avicenne, Paris 13 University, Bobigny, FranceCentre Ophtalmologique des Arceaux, Montpellier, FranceOphthalmology Department, APHP, Hôpital Avicenne, Paris 13 University, Bobigny, FranceCentre Ophtalmologique d’Imagerie et de Laser, Paris, FranceOphthalmology Department, APHP, Hôpital Avicenne, Paris 13 University, Bobigny, FranceWe described clinical and multimodal imaging findings in 4 patients with unilateral acute idiopathic maculopathy (UAIM) associated with hand, foot, and mouth disease. Four eyes of 4 patients (3 women and 1 man) with a mean age of 35 years (range: 24–40 years) were included. A bacillary detachment was observed in 3 out of the 4 eyes and was strongly suspected in the remaining eye. This particular detachment was resolved within 5–10 days in our series. A choriocapillaris involvement was supported by the multimodal imaging findings. On indocyanine green angiography, a hypofluorescence was observed throughout the sequence, and OCT angiography showed a defect of the choriocapillaris perfusion. In this case series, a complete multimodal retinal assessment allowed identifying the choriocapillaris as the primary tissue involved in UAIM associated with coxsackie virus infection. In 3 out of our 4 cases, a bacillary detachment with a transient evolution was identified.https://www.karger.com/Article/FullText/525940acute maculopathycoxsackie virushand, foot, and mouth diseasemultimodal imaging/methodsoptical coherence tomographyfluorescein angiography |
spellingShingle | Mickael Anjou Franck Fajnkuchen Nicolas Nabholz Sylvia Nghiem-Buffet Sarah Mrejen Audrey Giocanti-Aurégan Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series Case Reports in Ophthalmology acute maculopathy coxsackie virus hand, foot, and mouth disease multimodal imaging/methods optical coherence tomography fluorescein angiography |
title | Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series |
title_full | Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series |
title_fullStr | Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series |
title_full_unstemmed | Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series |
title_short | Multimodal Imaging of Unilateral Acute Maculopathy Associated with Hand, Foot, and Mouth Disease: A Case Series |
title_sort | multimodal imaging of unilateral acute maculopathy associated with hand foot and mouth disease a case series |
topic | acute maculopathy coxsackie virus hand, foot, and mouth disease multimodal imaging/methods optical coherence tomography fluorescein angiography |
url | https://www.karger.com/Article/FullText/525940 |
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