Unilateral Melanoma-Associated Retinopathy Case Report
Abstract In this report, we present a case of unilateral melanoma-associated retinopathy in a 72-year-old woman. The patient’s main symptoms were decreased vision and positive dysphotopsia. Unilateral electronegative electroretinogram (ERG) was suggestive for melanoma retinopathy. PET-CT discovered...
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Veröffentlicht in: | Case Reports in Ophthalmology 2023-01, Vol.14 (1), p.498-506 |
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description | Abstract
In this report, we present a case of unilateral melanoma-associated retinopathy in a 72-year-old woman. The patient’s main symptoms were decreased vision and positive dysphotopsia. Unilateral electronegative electroretinogram (ERG) was suggestive for melanoma retinopathy. PET-CT discovered metastatic disease, 3 years after the initial melanoma. A prompt treatment with corticosteroids was started, followed by immunotherapy. The central and peripheral vision of the patient improved, and the ERG showed normalization of the responses. This case highlights the importance of early recognition and individualized treatment strategies for melanoma-associated retinopathy. |
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In this report, we present a case of unilateral melanoma-associated retinopathy in a 72-year-old woman. The patient’s main symptoms were decreased vision and positive dysphotopsia. Unilateral electronegative electroretinogram (ERG) was suggestive for melanoma retinopathy. PET-CT discovered metastatic disease, 3 years after the initial melanoma. A prompt treatment with corticosteroids was started, followed by immunotherapy. The central and peripheral vision of the patient improved, and the ERG showed normalization of the responses. This case highlights the importance of early recognition and individualized treatment strategies for melanoma-associated retinopathy.</description><identifier>ISSN: 1663-2699</identifier><identifier>EISSN: 1663-2699</identifier><identifier>DOI: 10.1159/000533769</identifier><identifier>PMID: 37901652</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Antibodies ; Antigens ; antiretinal antibodies ; Autoimmune diseases ; autoimmune retinopathy ; Case Report ; Case reports ; CT imaging ; Diagnosis ; Disease ; electronegative electroretinogram ; Immunotherapy ; Lymphatic system ; Medical imaging ; Melanoma ; melanoma-associated retinopathy ; paraneoplastic syndrome ; Patients ; Photoreceptors ; Risk factors ; Skin cancer ; Steroids ; Tomography ; Tumors ; Viral antibodies ; Visual acuity</subject><ispartof>Case Reports in Ophthalmology, 2023-01, Vol.14 (1), p.498-506</ispartof><rights>2023 The Author(s). Published by S. Karger AG, Basel</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2023 S. Karger AG</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c513t-d4395967e83140c8872c5615ae2e7daf7d701d232f2cc5444a2d697543a29a023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601888/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601888/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27612,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37901652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peeters, Reinout</creatorcontrib><creatorcontrib>Peeters, Freya</creatorcontrib><creatorcontrib>Jacob, Julie</creatorcontrib><creatorcontrib>Draganova, Dafina</creatorcontrib><creatorcontrib>Casteels, Ingele</creatorcontrib><creatorcontrib>Poesen, Koen</creatorcontrib><creatorcontrib>Balikova, Irina</creatorcontrib><title>Unilateral Melanoma-Associated Retinopathy Case Report</title><title>Case Reports in Ophthalmology</title><addtitle>Case Rep Ophthalmol</addtitle><description>Abstract
In this report, we present a case of unilateral melanoma-associated retinopathy in a 72-year-old woman. The patient’s main symptoms were decreased vision and positive dysphotopsia. Unilateral electronegative electroretinogram (ERG) was suggestive for melanoma retinopathy. PET-CT discovered metastatic disease, 3 years after the initial melanoma. A prompt treatment with corticosteroids was started, followed by immunotherapy. The central and peripheral vision of the patient improved, and the ERG showed normalization of the responses. This case highlights the importance of early recognition and individualized treatment strategies for melanoma-associated retinopathy.</description><subject>Antibodies</subject><subject>Antigens</subject><subject>antiretinal antibodies</subject><subject>Autoimmune diseases</subject><subject>autoimmune retinopathy</subject><subject>Case Report</subject><subject>Case reports</subject><subject>CT imaging</subject><subject>Diagnosis</subject><subject>Disease</subject><subject>electronegative electroretinogram</subject><subject>Immunotherapy</subject><subject>Lymphatic system</subject><subject>Medical imaging</subject><subject>Melanoma</subject><subject>melanoma-associated retinopathy</subject><subject>paraneoplastic syndrome</subject><subject>Patients</subject><subject>Photoreceptors</subject><subject>Risk factors</subject><subject>Skin cancer</subject><subject>Steroids</subject><subject>Tomography</subject><subject>Tumors</subject><subject>Viral antibodies</subject><subject>Visual acuity</subject><issn>1663-2699</issn><issn>1663-2699</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkctrFTEUxoMottQu3Itc6MrF1LwfK7lcfBQqFbHrcJrHba5zJ2MyV-h_b-rUoQXJIuE7v_PxnRyEXhN8Togw7zHGgjElzTN0TKRkHZXGPH_0PkKnte4ahpmhmoiX6Igpg4kU9BjJ6yH1MIUC_epr6GHIe-jWtWaXmupX38OUhjzCdHu32kANTRhzmV6hFxH6Gk4f7hN0_enjj82X7vLq88Vmfdk5QdjUec6MMFIFzQjHTmtFnZBEQKBBeYjKK0w8ZTRS5wTnHKiXRgnOgBrAlJ2gi9nXZ9jZsaQ9lDubIdm_Qi5bC2VKrg9W66iVF4oYE7lxAqignnhiQN-oCLx5fZi9xsPNPngXhqlN_cT0aWVIt3abf1uCJSZa6-Zw9uBQ8q9DqJPd5UMZ2gdYarBUknJyn_l8prbQYqUh5ubm2vFhn1weQkxNXyvVeNambQ3v5gZXcq0lxCUTwfZ-x3bZcWPfPh5iIf9ttAFvZuAnlG0oC7D0n_23vLn6NhN29JH9AQqxs5Q</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Peeters, Reinout</creator><creator>Peeters, Freya</creator><creator>Jacob, Julie</creator><creator>Draganova, Dafina</creator><creator>Casteels, Ingele</creator><creator>Poesen, Koen</creator><creator>Balikova, Irina</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230101</creationdate><title>Unilateral Melanoma-Associated Retinopathy Case Report</title><author>Peeters, Reinout ; Peeters, Freya ; Jacob, Julie ; Draganova, Dafina ; Casteels, Ingele ; Poesen, Koen ; Balikova, Irina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-d4395967e83140c8872c5615ae2e7daf7d701d232f2cc5444a2d697543a29a023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Antibodies</topic><topic>Antigens</topic><topic>antiretinal antibodies</topic><topic>Autoimmune diseases</topic><topic>autoimmune retinopathy</topic><topic>Case Report</topic><topic>Case reports</topic><topic>CT imaging</topic><topic>Diagnosis</topic><topic>Disease</topic><topic>electronegative electroretinogram</topic><topic>Immunotherapy</topic><topic>Lymphatic system</topic><topic>Medical imaging</topic><topic>Melanoma</topic><topic>melanoma-associated retinopathy</topic><topic>paraneoplastic syndrome</topic><topic>Patients</topic><topic>Photoreceptors</topic><topic>Risk factors</topic><topic>Skin cancer</topic><topic>Steroids</topic><topic>Tomography</topic><topic>Tumors</topic><topic>Viral antibodies</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peeters, Reinout</creatorcontrib><creatorcontrib>Peeters, Freya</creatorcontrib><creatorcontrib>Jacob, Julie</creatorcontrib><creatorcontrib>Draganova, Dafina</creatorcontrib><creatorcontrib>Casteels, Ingele</creatorcontrib><creatorcontrib>Poesen, Koen</creatorcontrib><creatorcontrib>Balikova, Irina</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case Reports in Ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peeters, Reinout</au><au>Peeters, Freya</au><au>Jacob, Julie</au><au>Draganova, Dafina</au><au>Casteels, Ingele</au><au>Poesen, Koen</au><au>Balikova, Irina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unilateral Melanoma-Associated Retinopathy Case Report</atitle><jtitle>Case Reports in Ophthalmology</jtitle><addtitle>Case Rep Ophthalmol</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>14</volume><issue>1</issue><spage>498</spage><epage>506</epage><pages>498-506</pages><issn>1663-2699</issn><eissn>1663-2699</eissn><abstract>Abstract
In this report, we present a case of unilateral melanoma-associated retinopathy in a 72-year-old woman. The patient’s main symptoms were decreased vision and positive dysphotopsia. Unilateral electronegative electroretinogram (ERG) was suggestive for melanoma retinopathy. PET-CT discovered metastatic disease, 3 years after the initial melanoma. A prompt treatment with corticosteroids was started, followed by immunotherapy. The central and peripheral vision of the patient improved, and the ERG showed normalization of the responses. This case highlights the importance of early recognition and individualized treatment strategies for melanoma-associated retinopathy.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>37901652</pmid><doi>10.1159/000533769</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Antibodies Antigens antiretinal antibodies Autoimmune diseases autoimmune retinopathy Case Report Case reports CT imaging Diagnosis Disease electronegative electroretinogram Immunotherapy Lymphatic system Medical imaging Melanoma melanoma-associated retinopathy paraneoplastic syndrome Patients Photoreceptors Risk factors Skin cancer Steroids Tomography Tumors Viral antibodies Visual acuity |
title | Unilateral Melanoma-Associated Retinopathy Case Report |
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