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- W2078902952 abstract "Mujer de 70 años que consultó por dificultad de visión en ojo derecho de 2 semanas de evolución. Presentaba una agudeza visual (AV) de 0,6 y 1,0 con polo anterior y presión intraocular normales y defecto pupilar aferente relativo. En el fondo de ojo se apreciaba papilitis en ojo derecho. Los elevados valores de reactantes de fase aguda condujeron al diagnóstico inicial de neuritis óptica isquémica anterior arterítica (NOIA-A) iniciándose tratamiento con corticoides.Según la edad de la paciente, la funduscopia y los elevados valores de los reactantes de fase aguda, el diagnóstico inicial fue de NOIA-A. Sin embargo, las características de papilitis atípica, con buena AV y campimetría inespecífica, una adecuada historia clínica y el cuadro general de características víricas, con su confirmación analítica, condujeron al diagnóstico de papilitis por primoinfección por virus de Epstein-Barr, cuadro muy poco frecuente debido a la edad avanzada de la paciente.A 70-year- old woman who consulted due to poor vision in her right eye for 2 weeks. The examination showed a visual acuity (VA) of 0.6 and 1.0, with normal anterior pole and intraocular pressure and a relative afferent pupillary defect. Some papillitis was observed in the fundus of her right eye. The high levels of acute phase reactants led to an initial diagnosis of arteritic anterior ischemic optic neuropathy (AAION) and treatment with corticosteroids was started.According to the age of the patient, the fundus and the high levels of acute phase reactants, the initial diagnosis was AAION. However, the atypical papillitis features, with good AV and non-specific perimetry, together with a suitable medical history, and a profile of viral characteristics, with laboratory confirmation, led to the diagnosis of a primary papillitis infection due to Epstein-Barr virus, a very rare case due to the advanced age of the patient." @default.
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- W2078902952 date "2014-06-01" @default.
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- W2078902952 title "Oftalmología, historia y humanidades" @default.
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