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Unilateral Acute Idiopathic Maculopathy in a patient with Hand-Foot-Mouth Disease: a case report.

Research paper by Zachary E ZE Falk, Khurram J KJ Malik

Indexed on: 12 Sep '20Published on: 11 Sep '20Published in: Retinal cases & brief reports



Abstract

Review of slit lamp fundoscopy, color fundus photography, spectral-domain optical coherence tomography, and fluorescein angiography. Slit lamp examination revealed parafoveal microaneurysms, parafoveal intraretinal hemorrhages, and outer segment irregularity in the left eye. Fundus photos demonstrated retinal hemorrhages and a greyish-whitish sheen in the central parafoveal area. Optical coherence tomography (OCT) was notable for a small pocket of outer segment and RPE disruption and irregularity in the central foveal area of the left eye. Fluorescein angiography (FA) revealed increased focal macular leakage within a larger central area of leakage and staining. Unilateral acute idiopathic maculopathy and, specifically coxsackievirus related chorioretinitis, should be considered in the differential diagnosis of atypical maculopathy.