Abstract
A 23-year-old man presented with right eye blurred vision; he was diagnosed with acute posterior multifocal placoid pigment epitheliopathy (APMPPE), and his symptoms resolved with prednisolone. Two months later, he developed a right arm weakness that resolved after 3 weeks. MR scan of brain identified changes suggesting multiple sclerosis, with four hyperintense FLAIR lesions; there was contrast enhancement of two lesions and no diffusion restriction. Cerebrospinal fluid showed mononuclear pleocytosis. We eventually diagnosed these as APMPPE-associated CNS lesions. APMPPE is a rare inflammatory chorioretinopathy that rarely can resemble multiple sclerosis clinically and radiologically.
Originalsprog | Engelsk |
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Tidsskrift | Practical Neurology |
Vol/bind | 22 |
Udgave nummer | 6 |
Sider (fra-til) | 515-517 |
Antal sider | 3 |
ISSN | 1474-7758 |
DOI | |
Status | Udgivet - 2022 |