Acute posterior multifocal placoid pigment epiteliopathy and neurological involvement in an elderly patient: case report and review

We report a rare case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) in an elderly patient and a review of the recent scientific literature. A 65-year-old Caucasian man, forty-five days after return from tropical travel he developed right-sided facial palsy with right hemipleg...

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Bibliographic Details
Published inClinica terapeutica Vol. 165; no. 5; p. 261
Main Authors Mafrici, M, Salomone, M, Valente, S, Gerace, E, Trabucco, P, Navarre, S, Villain, M, Vingolo, E M
Format Journal Article
LanguageItalian
Published Italy 2014
Subjects
Acute Disease
Aged
Choroiditis - diagnosis
Choroiditis - drug therapy
Fluorescein Angiography
Humans
Male
Pigment Epithelium of Eye - pathology
Prednisolone - therapeutic use
Prednisone - therapeutic use
Retinal Diseases - drug therapy
Retinal Diseases - pathology
Retinal Pigment Epithelium - pathology
acute posterior multifocal placoid pigment epitheliopathy
magnetic resonance imaging
fluorescein angiography
optical coherence tomography
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Summary:We report a rare case of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) in an elderly patient and a review of the recent scientific literature. A 65-year-old Caucasian man, forty-five days after return from tropical travel he developed right-sided facial palsy with right hemiplegia, dysarthria and a positive Babinski sign. He started prednisone 90 mg/day. Clinical, laboratory and imaging examinations were reported. Five months later there was a complete neurological and ophthalmological recovery. Although APMPPE was described primarily in young adults, we report the first case of APMPPE associated with neurological involvement in an older patient with a complete restitutio ad integrum.
ISSN:1972-6007
DOI:10.7417/CT.2014.1757