A retrospective study describing the effective exchange of total blood plasma for disease control in the exacerbation of serpiginous choroiditis

© 2024 International Society for Apheresis and Japanese Society for Apheresis..

INTRODUCTION: Serpiginous choroiditis presents with large yellow-white exudative lesions that occur near the optic nerve papillae, that progresses slowly with repeated relapses and cures. Although infection and autoimmunity have been implicated, the cause is unknown.

METHODS: A man was diagnosed with serpiginous choroiditis on clinical and other examinations. He started treatment with oral corticosteroids, cyclophosphamide, adalimumab, azathioprine, rituximab, and mycophenolate mofetil. Only the steroids and cyclophosphamide had a therapeutic effect. Plasma exchange was initiated, and the lesions quickly resolved.

RESULTS: Disease control has been maintained by plasma exchange and cyclophosphamide during flare-ups in the fall and winter, suggesting that plasma exchange is effective in the treatment of serpiginous choroiditis.

CONCLUSION: The reproducible response with each recurrence suggests a strong association between the disease and autoimmunity. Furthermore, that some, as yet unknown, autoantibodies are involved in the pathogenesis of serpiginous choroiditis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy - (2024) vom: 06. März

Sprache:

Englisch

Beteiligte Personen:

Katayama, Yuri [VerfasserIn]
Katagiri, Daisuke [VerfasserIn]
Harada, Takuya [VerfasserIn]
Terakawa, Kanako [VerfasserIn]
Shimada, Keiki [VerfasserIn]
Sakamoto, Emi [VerfasserIn]
Niikura, Takahito [VerfasserIn]
Suzuki, Minami [VerfasserIn]
Yoshizaki, Yuki [VerfasserIn]
Nunose, Naoto [VerfasserIn]
Sato, Motohiko [VerfasserIn]
Yashiro, Shigeko [VerfasserIn]
Kaneko, Hiroshi [VerfasserIn]
Takano, Hideki [VerfasserIn]

Links:

Volltext

Themen:

Cyclophosphamide
Journal Article
Plasma exchange
Serpiginous choroiditis

Anmerkungen:

Date Revised 06.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/1744-9987.14116

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369380487