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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Main Authors: Mickael Anjou, Franck Fajnkuchen, Nicolas Nabholz, Sylvia Nghiem-Buffet, Sarah Mrejen, Audrey Giocanti-Aurégan
Format: Article
Language:English
Published: Karger Publishers 2022-08-01
Series:Case Reports in Ophthalmology
Subjects:
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.
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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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