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       XXVI Annual Congress of the Iranian Society of Ophthalmology        بـیــست و ششمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Retinal vasculopathy in Job s' syndrome; a case report
Author(s): Mohsen Farvardin, Mohammad Hassan Jalalpour, Golnoush Sadat Mahmoudi Nezhad, Adel Attar Zadeh, Soheila Al-Yaseen
Presentation Type: Poster
Subject: Posterior Segment and Uveitis
Others:
Presenting Author:
Name: Mohammad hassan Jalalpour
Affiliation :(optional) 1. Poostchi Ophthalmology Research Center,Department of Ophthalmology,Shiraz Universtiy of Medical Sciences , Shiraz, Iran
E mail: mhjalalpour@gmail.com
Phone:
Mobile: 09177810025
Purpose:

To report a case report of retinal vasculopathy in HyperimmunglobolinE syndrome.

Methods:

Case report

Results:

A 10 year old boy known case of hyperimmunoglobulin E syndrome (HIES) referred to ophthalmology emergency room due to decreased in visual acuities and bilateral dilated fix pupils. In ophthalmic physical examination visual acuities were 1/10 in right eye (OS) and 5/10 in left eye (OD). Slit lamp examination of both eye revealed sever meibomian gland dysfunction (MGD), blepharitis and fixed dilated pupil of both eyes. fundoscopic examination revealed peripheral retinal hemorrhage , vascular sheathing around retinal artery and vein and vascular occlusion in right eye and peripheral retinal hemorrhage and vascular sheathing around retinal artery and vein and vascular occlusion in left eye. genetic study confirmed mutation in DOCK 8 that is related to vasculopathy in HIES.

Conclusion:

This is the first case report of retinal occlusive vasculitis in HIES in literature. Our patient was diagnosed as Autosomal recessive HIES with DOCK8 mutation that is associated with wide spectrum of vascular abnormalities that is due to partial T-cell deficiency that is result to dysregulation of immune system and leading to lymphoma and CNS and systemic vasculitis.

Attachment: 5384HIES.pptx





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