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  • Title: Purtscher-like retinopathy in a paediatric patient with haemolytic uraemic syndrome: A case report and literature review.
    Author: Benvenuto F, Guillen S, Marchiscio L, Falbo J, Fandiño A.
    Journal: Arch Soc Esp Oftalmol (Engl Ed); 2021 Nov; 96(11):607-610. PubMed ID: 34756284.
    Abstract:
    An 8-year-old boy presented with fever, vomits, bloody diarrhoea, and blurred vision. The patient was diagnosed with Haemolytic Uraemic Syndrome (HUS) due to the symptoms and a positive Verotoxin stool test. Funduscopic examination showed retinal involvement in both eyes, peri-papillary paleness, retinal haemorrhages, and soft "Purtscher Fleckens" exudates. A favourable outcome was achieved after hospital admission and systemic treatment. Dialysis treatment was not needed due the preserved diuresis. Although Purtscher-like retinopathy is very uncommon, ocular examination is mandatory in patients with pancreatitis, autoimmune diseases, and thrombotic microangiopathies, such as HUS.
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