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Unilateral acute maculopathy associated with adult onset hand, foot and mouth disease: case report and review of literature
Identifier
027574
Type of Spiritual Experience
None
Background
A description of the experience
J Ophthalmic Inflamm Infect. 2015; 5: 2.
Published online 2015 Feb 1. doi: 10.1186/s12348-015-0034-3
PMCID: PMC4333364
PMID: 25774239
Unilateral acute maculopathy associated with adult onset hand, foot and mouth disease: case report and review of literature
Rupesh Agrawal, Kanchan Bhan, Kam Balaggan, Richard WJ Lee, Carlos E Pavesio, and Peter KF Addison
Background
Acute maculopathy is a rare condition of unknown aetiology and Coxsackie virus is known to be associated with this macular chorioretinitis.
Findings
We report a case of acute unilateral maculopathy in a 35-year-old woman with concurrent hand foot and mouth disease. Furthermore, we display multimodal imaging (colour fundus photographs, autofluorescence, spectral domain ocular coherence tomography, fluorescein angiography and indocyanine green angiography) charting the course of the disease. The source of the virus was thought to be the patient's child. Empirical treatment with oral corticosteroids was commenced and the inflammation resolved, leaving a residual macular scar.
Conclusions
We present this case combined with the review of literature of adult onset Coxsackie-virus-associated retinitis. This case reiterates the fact that Coxsackie virus is an uncommon but important consideration in the differential diagnosis of chorioretinitis and posterior uveitis with atypical retinopathy.
Keywords: Acute maculopathy, Posterior uveitis, Coxsackie virus, Hand, foot and mouth disease (HFMD), Autofluorescence