Purtscher-like retinopathy associated with adult onset still disease: Case report and review of the literature

• Published in: La revue de medecine interne Vol. 41; no. 4; pp. 279 - 283
• Main Authors: Escoda, T, Seguier, J, Swiader, L, Briantais, A, Sampo, M, Harlé, J R, Durand, J M
• Format: Journal Article
• Language: French
• Published: France 01.04.2020
• Subjects: Female; Fluorescein Angiography; Fundus Oculi; Humans; Middle Aged; Retinal Diseases - diagnosis; Retinal Diseases - etiology; Still's Disease, Adult-Onset - complications; Still's Disease, Adult-Onset - diagnosis; Maladie de Still de l’adulte; Pseudo-rétinopathie de Purtscher; Rétinopathie de Purtscher; Adult onset Still's disease; Purtscher retinopathy; Purtscher-like retinopathy
• ISSN: 1768-3122
• DOI: 10.1016/j.revmed.2019.12.024

Putscher-like retinopathy is a retinal disease that is similar to the syndrome initially described in 1910 by Purtscher, but occurring in a non-traumatic context. We describe a case of acute, Putscher-like retinopathy in a 48-year-old woman experiencing adult onset Still's disease. The diagnosis was based on fundus examination and fluorescein angiography. Based on a review of the literature, we discuss the current available data on the pathophysiology of this syndrome and its prognostic significance. The treatment remains controversial. When visual functional signs appear during adult Still's disease, it is necessary to evoke Putscher-like retinopathy, and to ask for an ophthalmological expertise.