| 발표일자: |
2014년 4월 12일(토) ~ 4월 13일(일) |
| 발표번호: |
P(e-poster)-177 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| Temporal Artery Calciphylaxis presenting as Temporal Arteritis in a case of Rhinoorbitocerebral Mucormycosis |
| 가천대학교 안과학교실(1), Department of Ophthalmology,University of California San Francisco, San Francisco(2) |
| 지미정(1), H.Jane Kim(2), Ryan Basham(2), Robert C. Kersten(2) |
| 본문 : Mucormycosis is a rare often fatal opportunistic fungal infection. It is typically described in diabetic patients in ketoacidotic status and is extremely rare in renal transplant recipients. Calciphylaxis is a rare and highly morbid disease of vascular calcification affecting patients with end stage renal disease (ESRD). We report the first case of a renal transplant recipient who was inflicted with both rhinoorbitocerebral mucormycosis and calciphylaxis.
A 45-year-old man presented with 2 day history of left upper blepharoptosis, periorbital pain, left sided headache, binocular diplopia, and left V2 numbness. He had received renal transplant for ESRD 7 months before with resultant immunosuppressive therapy. MRI and nasal biopsy confirmed rhinoorbitocerebral mucormycosis. Immunosuppressive therapy was stopped and antifungal therapy begun. He had exenteration for progressive rhinoorbitocerebral mucormycosis. Two months later, the patient complained of new onset intermittent bitemporal headache and bilateral swollen, tender temporal arteries. Temporal artery biopsy revealed features consistent with calciphylaxis. Clinical presentation, treatment course, and followup are discussed. |
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