Open AccessChoroidal and Optic Nerve Infarction in Hepatitis C-Associated Polyarteritis Nodosa
Author(s) -
Yanina Kostina-O'Neil,
Guy V. Jirawuthiworavong,
David N. Podell,
Robert L. Lesser
Publication year - 2007
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0b013e31814b1d29
Subject(s) - medicine , polyarteritis nodosa , optic nerve , vasculitis , infarction , edema , pathology , ophthalmology , surgery , myocardial infarction , disease
A 39-year-old man presented with headache, weight loss, bilateral subdural hematomas, pansinusitis, and visual loss. The neuro-ophthalmologic examination disclosed deep choroidal lesions and bilateral optic disc edema. Orchiectomy for testicular torsion showed acute vasculitis consistent with polyarteritis nodosa (PAN). Polymerase chain reaction (PCR) testing revealed hepatitis C. This is the first reported case of PAN due to hepatitis C with early findings of choroidal and optic nerve infarction.