A 23-year-old woman with 20/20 visual acuity was referred for incidental ophthalmoscopic findings. Ophthalmoscopy results (Figure) showed a peau d'orange pattern of diffuse mottling of the outer retina demonstrating dark spots on a normal-appearing fundus, angioid streaks, peripapillary comet lesions, and a peripheral comet rain in both eyes. She received a diagnosis of pseudoxanthoma elasticum (PXE) after undergoing a skin biopsy.
Chen K. Angioid Streaks and Other Retinopathy in Pseudoxanthoma Elasticum. JAMA Ophthalmol. 2019;137(10):e193129. doi:https://doi.org/10.1001/jamaophthalmol.2019.3129
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