An 11-year-old African American girl presented to the ophthalmology clinic with a 2-month history of progressive vision loss with no associated discomfort. Her medical history for the past 8 months is notable for fatigue, decreased appetite, a 10-pound weight loss, left-sided temporal headaches, shortness of breath, dyspnea on exertion, intermittent abdominal pain, diarrhea, muscle aches, night sweats, and subjective fevers. The patient's recent history is also notable for rhinorrhea and mild coughing productive of yellow sputum in the past 2 weeks, 3 episodes of emesis in the past week, and occasional erythematous and pruritic skin rashes on her trunk and limbs that began 8 months ago. The patient's medical history was otherwise noncontributory, with normal development, up-to-date on immunizations, and currently on no medications except for a daily multivitamin. The patient's family history was positive for thyroid disease and ankylosing spondylitis in distant relatives.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.