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February 2009

Sudden Visual Loss Due to Occlusive Venous Vasculitis Associated With Sweet Syndrome

Arch Dermatol. 2009;145(2):216-218. doi:10.1001/archdermatol.2008.560

A 29-year-old woman presented to the ophthalmology department with a 1-day history of sudden visual loss in her left eye. Concurrent symptoms included fever (temperature >39°C) and painful plaques and nodules on her face and extremities for 3 days. She had no history of medical problems or treatment with medication. She denied a history of recurrent oral or genital ulcers. Several erythematous tender plaques were observed on the face and arms, and several erythematous tender nodules were noted on both legs (Figure 1A and B). The best-corrected visual acuity (BCVA) of her left eye was finger counting at 50 cm. Slitlamp examination revealed severe anterior chamber reactions. Funduscopy and fluorescein angiography findings demonstrated an occlusive venous vasculitis with retinal hemorrhages, mainly involving the posterior pole (Figure 1C).

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