RT Journal Article
SR Electronic
T1 Acute posterior multifocal placoid pigment epitheliopathy resembling multiple sclerosis
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 515
OP 517
DO 10.1136/pn-2022-003463
VO 22
IS 6
A1 Sahla El Mahdaoui
A1 Asher Lou Isenberg
A1 Klaus Hansen
A1 Annika Reynberg Langkilde
A1 Steffen Hamann
A1 Jeppe Romme Christensen
YR 2022
UL http://pn.bmj.com/content/22/6/515.abstract
AB A 23-year-old man presented with right eye blurred vision; he was diagnosed with acute posterior multifocal placoid pigment epitheliopathy (APMPPE), and his symptoms resolved with prednisolone. Two months later, he developed a right arm weakness that resolved after 3 weeks. MR scan of brain identified changes suggesting multiple sclerosis, with four hyperintense FLAIR lesions; there was contrast enhancement of two lesions and no diffusion restriction. Cerebrospinal fluid showed mononuclear pleocytosis. We eventually diagnosed these as APMPPE-associated CNS lesions. APMPPE is a rare inflammatory chorioretinopathy that rarely can resemble multiple sclerosis clinically and radiologically.Data sharing not applicable as no datasets generated and/or analysed for this study.