Resumen de Enfermedad de Eales de causa tuberculosa.: Caso clínico

Paloma Ruiz de la Fuente Rodríguez, Candelaria Pinto Herrera, Pedro Rocha Cabrera, J. A. Abreu Reyes, Miguel Ángel Serrano García

• español

  Caso clínico: Paciente mujer de 58 años de origen libanés, que acude por disminución de agudeza visual (AV) en ojo izquierdo (OI). La exploración pone de manifiesto periflebitis retiniana periférica y posteriormente isquemia retiniana, siendo compatible con una enfermedad de Eales. Las pruebas de laboratorio revelan Mantoux y quantiferón positivos. Tras realizar tratamiento tuberculostático sistémico, evoluciona favorablemente.

  Discusión: La enfermedad de Eales es una vasculitis retiniana que afecta predominantemente a la retina periférica. Aunque se ha relacionado con la tuberculosis, su etiopatogenia es desconocida.

• English

  Case report: Lebanese 58-year-old female patient, who presents decreased visual acuity (VA) in her left eye (LE). Exploration discovers retinal periphlebitis that improves with enterally supplied corticoids. Three months later there is new visual loss in her left eye, and retinal ischemia is observed in the area that was previously affected. The condition seems to be related to Eales disease and peripheral retinal ischemia is later revealed, being compatible with Eales disease. Laboratory tests prove positive Mantoux and QuantiFERON. After systemic TB treatment, the patient progresses favorably.

  Discussion: Eales disease is a retinal vasculitis that affects the peripheral retina predominantly. Although it has been linked to tuberculosis, its pathogenesis is unknown.