Diagnostic specifics of demyelinating optic neuritis on the idiopathic thrombocytopenic purpura
https://doi.org/10.21516/2072-0076-2024-17-4-89-94
Abstract
A clinical case of optic neuritis in a patient with idiopathic thrombocytopenic purpura is presented. As a result of a comprehensive ophthalmological, clinical, instrumental and laboratory examination, objective signs of unilateral demyelinating damage of the optic nerve were revealed (according to the results of electrophysiological examinations and optical coherence tomography). A year later the patient developed a clinical symptoms of multiple sclerosis, confirmed by magnetic resonance imaging. Associations of multiple sclerosis with other autoimmune diseases are not uncommon, however, only a few cases of multiple sclerosis on the idiopathic thrombocytopenic purpura have been described in the literature. Considering that ophthalmologists in clinical practice may encounter concomitant eye diseases on the diagnosed or debuting autoimmune diseases, it is necessary to conduct an ophthalmological examination with immediate consultation of related specialists.
Keywords
demyelinating optic neuritis,
multiple sclerosis,
idiopathic thrombocytopenic purpura,
optical coherence tomography,
electrophysiological examinations,
magnetic resonance imaging
Supporting agencies: no author has a financial or property interest in any material or method mentioned
About the Authors
T. D. Okhotsimskaya
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Tatiana D. Okhotsimskaya — Cand. of Med. Sci., оphthalmologist department of retina and optic nerve pathology.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
E. K. Eliseeva
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Elena K. Eliseeva — Cand. of Med. Sci., researcher of ultrasound diagnostic department.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
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For citations:
Okhotsimskaya T.D., Eliseeva E.K. Diagnostic specifics of demyelinating optic neuritis on the idiopathic thrombocytopenic purpura. Russian Ophthalmological Journal. 2024;17(4):89-94. (In Russ.) https://doi.org/10.21516/2072-0076-2024-17-4-89-94
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