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February 1989

Death Associated With Acute, Multifocal, Placoid Pigment Epitheliopathy

Author Affiliations

Tampa, Fla
Lakeland, Fla

Arch Ophthalmol. 1989;107(2):170-171. doi:10.1001/archopht.1989.01070010176014

To the Editor.  —We would like to report a second case of death associated with acute, multifocal, placoid pigment epitheliopathy,1 as previously reported by Wilson et al.2

Report of a Case.  —A 25-year-old woman, who was six months post partum, presented with a headache of two weeks' duration and bilateral visual loss of one week's duration.Her initial visual acuity was counting fingers at 3 ft bilaterally. Patches of cream-colored lesions at the choroidal level were present in the posterior and midperipheral fundi of both eyes (Fig 1). A fluorescein angiogram showed patches of early hypofluorescence and late staining at the choroidal level but no overlying retinal vasculitis. An initial medical evaluation showed no evidence of collagen vascular disease. The chest roentgenogram and sinus films were normal. The antinuclear antibody and rheumatoid factor titers were normal. The erythrocyte sedimentation rate was elevated to 95 mm/h. A regimen

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