Title

Granulomatosis with polyangiitis presenting as vision loss and sinus disease

Authors

Daniel Kaitis, Henry Ford Health SystemFollow
Swapna Vemuri, Henry Ford Health SystemFollow

Files

Program

Ophthalmology

Training Level

Resident PGY 2

Institution

Henry Ford Hospital

Abstract

A 32 year-old female with a past medical history of several years of intranasal cocaine usage, bipolar disorder type 1 and no ophthalmic history presented with vision loss in the right eye for 2 weeks duration. Visual acuity in the right eye was count fingers at 1 foot. Patient had a pronounced relative afferent pupillary defect, deficiency in abduction of the right eye, and mild disc edema. Imaging showed evidence of severe sinusitis. She was admitted for treatment of sinusitis with antibiotics. Mucormycosis was ruled out. Vision decreased to no light perception on day 1 of admission. She was found to have biopsy-proven granulomatosis with polyangiitis. She was started on immunosuppression. She has been lost to follow-up.

Presentation Date

5-2020

Comments

Identifiable patient images were removed from this poster.

Recommended Citation

Kaitis, Daniel and Vemuri, Swapna, "Granulomatosis with polyangiitis presenting as vision loss and sinus disease" (2020). Case Reports. 71.
https://scholarlycommons.henryford.com/merf2020caserpt/71