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  • Title: Hypertensive retinopathy and Purtscher-like retinopathy in a child with complement 3 glomerulopathy.
    Author: Shekarchian F, Hosseini SM, Khazaei S.
    Journal: J AAPOS; 2023 Oct; 27(5):312-314. PubMed ID: 37717617.
    Abstract:
    We report the case of a 15-year-old boy with hypertensive retinopathy and Purtscher-like retinopathy eventually diagnosed with complement 3 glomerulopathy (C3G). The patient presented with bilateral severe painless visual loss and posterior pole cotton wool spots, optic disk and macular edema, and macular star-shaped hard exudate depositions, arterial narrowing, and venous tortuosity, indicative of hypertensive retinopathy (with an initial blood pressure of 210/130 mm Hg) and Purtscher-like retinopathy. He was subsequently diagnosed with C3G based on results of a kidney biopsy. There was a mild visual improvement on follow-up examination, and optic disk swelling and subretinal fluid and cotton wool spots resolved.
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