Caso clínico: coroiditis serpiginosa-like con afectación macular y buena evolución tras tratamiento con adalimumab

  1. C. Arrieta-Bechara 1
  2. B. Haro-Álvarez 1
  3. L. Cocho-Archiles 2
  4. J.M. Herreras Cantalapiedra 2
  1. 1 Instituto de Oftalmología Aplicada de Valladolid
    info

    Instituto de Oftalmología Aplicada de Valladolid

    Valladolid, España

  2. 2 Hospital Universitario de Valladolid
    info

    Hospital Universitario de Valladolid

    Valladolid, España

    ROR https://ror.org/04fffmj41

Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Ano de publicación: 2022

Volume: 97

Número: 8

Páxinas: 477-480

Tipo: Artigo

DOI: 10.1016/J.OFTAL.2021.02.013 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Resumo

Clinical case of a 42-year-old woman who consulted for decreased vision in the left eye over 2 months, associated with multifocal choroiditis. Different diagnostic tests were performed to rule out infectious pathologies, as well as a diagnostic vitrectomy test, which was negative. QuantiFERON® was found to be positive and a diagnosis of serpiginous-like choroiditis (SLC) was made. Anti-tuberculosis treatment was started with worsening of vision and multifocal choroiditis. Once conventional immunotherapy and biological treatment were added, the patient presented a significant improvement in vision. To conclude, in cases of SLC, it is not only necessary to treat the infection but also the inflammatory component either with steroids or conventional immunotherapy or immunosuppression with biologics, thus reducing the number of reactivations and improving the visual prognosis.

Fonte de datos: Dialnet