Retinal Vasculopathy With Cerebral Leukoencephalopathy and Systemic Manifestations: Critical Role of Retina Specialists.

Abstract

Purpose:

To describe a case of retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations (RVCL-S) to enhance early recognition of this often-missed diagnosis.

Methods:

A case report is presented.

Results:

A 50-year-old woman with a history of Raynaud phenomenon, memory difficulties, and a family history of strokes was referred for evaluation of a bilateral, small-vessel, occlusive disease refractory to immunosuppressive therapy. An extensive workup for treatable causes was unrevealing. Fifteen months after presentation, brain imaging showed white-matter lesions and dystrophic calcification, which led to the discovery of a pathogenic variant in TREX1 and the diagnosis of RVCL-S.

Conclusions:

Retina specialists play a critical role in the timely diagnosis of RVCL-S. Although the findings in this condition can mimic those in other common retinal vascular disorders, there are key characteristics that increase the suspicion for RVCL-S. Early recognition might decrease unnecessary therapies and procedures.

• Authors: Odette M Houghton, Jonathan Carter, Radhika Dhamija
• Journal: Journal of vitreoretinal diseases (J Vitreoretin Dis) 2023 Mar-Apr Vol. 7 Issue 2 Pg. 171-177 ISSN: 2474-1272 [Electronic] United States
• PMID: 37006667 (Publication Type: Case Reports)
• Copyright: © The Author(s) 2022.