Recurrent secondary frosted branch angiitis after toxoplasmosis vasculitis

Oh, Jaeryung; Huh, Kuhl; Kim, Seong-Woo

doi:10.1111/j.1600-0420.2005.00399.x

Cited by 16 publications

(4 citation statements)

References 7 publications

(8 reference statements)

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“…A case of a young boy with bilateral patchy retinal vascular sheathing without retinochoroiditis has been reported 20. This patient had positive Toxoplasma IgM antibodies and responded well to anti- Toxoplasma medications and steroids 20…”

Section: Discussionmentioning

confidence: 99%

UnilateralToxoplasmaretinochoroiditis with frosted branch angiitis: a multimodal imaging study

Sanjay,

Choudhary,

Kawali

et al. 2024

BMJ Case Rep

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A woman in her late 30s presented with sudden diminution of vision, redness and pain in the right eye (OD) of 10 days’ duration. Best corrected visual acuity (BCVA) was 20/160 in OD and 20/20 in the left eye (OS). Anterior segment of OD showed keratic precipitates, flare 3+, cells 2+ and a festooned pupil. Vitreous haze and cells were seen in OD. Frosted branch angiitis (FBA) was seen in all quadrants in OD and oldToxoplasmascar was seen in both eyes. Serum toxoplasma immunoglobulin G (IgG) was positive and IgM negative, and PCR of an aqueous humour sample was negative forToxoplasma. She was diagnosed with toxoplasa retinochoroiditis in OD and treated with intravitreal clindamycin injections, oral anti-Toxoplasmaantibiotics and steroids. Three months later, her BCVA in OD was 20/40 with resolving inflammation. She presented 2 months later with a new focus of retinochoroiditis without FBA and an oldToxoplasmascar.

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Section: Discussionmentioning

confidence: 99%

UnilateralToxoplasmaretinochoroiditis with frosted branch angiitis: a multimodal imaging study

Sanjay,

Choudhary,

Kawali

et al. 2024

BMJ Case Rep

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“…Frosted branch angiitis (FBA), first reported by Ito et al [1] in Japan in 1976 as a form of pediatric uveitis, is a rare form of acute uveitis with severe vasculitis in which sheathing of the vessels looks like frosted branches of a tree. While the primary cause of FBA is unknown, some viral infections, toxoplasmosis, and Behçet's disease have been reported to be associated with the pathogenesis of FBA [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

A Case of Bilateral Frosted Branch Angiitis after mRNA COVID-19 Vaccination

Kitaoka

Mouri

Sugaya

et al. 2023

Case Rep Ophthalmol

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We report a case of bilateral frosted branch angiitis (FBA) following mRNA-1273 COVID-19 vaccination. A 79-year-old male was referred to our hospital with a sudden onset of blurred vision in the right eye, which occurred during his return home after receiving the third dose of a messenger RNA (mRNA) COVID-19 vaccine. Fundoscopy revealed severe retinal vasculitis with sheathing of the artery and vein in the right eye more so than in the left eye, suggestive of bilateral FBA. Optical coherence tomography showed significant macular edema and serous retinal detachment in the right eye. Polymerase chain reaction assay detected Epstein-Barr virus (EBV) in the aqueous humor, and antibody against the EBV viral capsid antigen was positive for IgM. The next day, best-corrected visual acuity (BCVA) worsened to 0.08 due to macular edema in the left eye. After 2 courses of pulse steroid therapy and intravenous infusion of acyclovir, macular edema had disappeared and sheathing of retinal vessels was improving. At 5 months after the mRNA COVID-19 vaccination, BCVA was maintained 0.15 in the right eye and 0.7 in the left eye. Severe uveitis, such as FBA, can occur after mRNA COVID-19 vaccination.

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“…Complications include an epiretinal membrane, retinal fibrosis, and atrophic lesions [8]. Finally, recurrence of the disease is typically rare, though there has been a reported case of secondary frosted branch angiitis due to toxoplasmosis that recurred twice after initial treatment [10].…”

Section: Introductionmentioning

confidence: 99%

Frosted branch angiitis presenting after a SARS-CoV-2 infection

Alapati

Cameron

Gratton

et al. 2022

J Ophthal Inflamm Infect

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Purpose To report a case of frosted branch angiitis presenting in a pediatric patient with unremarkable laboratory work-up apart from SARS-CoV-2 IgG antibodies. Observations Less than four weeks after a SARS-CoV-2 infection, a 10 year-old female presented to the emergency department with severe headache and intermittent fevers. During her hospital admission, the ophthalmology service was consulted for blurry vision. Subsequent eye examination revealed frosted branch angiitis. The patient initially received intravenous corticosteroids but was escalated to plasmapheresis to achieve resolution of her symptoms. Outpatient maintenance therapy consisted of an oral Prednisone taper and Infliximab infusion. Conclusion and importance This case represents a unique ocular manifestation of COVID-19, as recent SARS-CoV-2 was the sole identifiable cause of the patient’s frosted branch angiitis. Additionally, this patient required plasmapheresis to control disease progression.

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Recurrent secondary frosted branch angiitis after toxoplasmosis vasculitis

Cited by 16 publications

References 7 publications

UnilateralToxoplasmaretinochoroiditis with frosted branch angiitis: a multimodal imaging study

UnilateralToxoplasmaretinochoroiditis with frosted branch angiitis: a multimodal imaging study

A Case of Bilateral Frosted Branch Angiitis after mRNA COVID-19 Vaccination

Frosted branch angiitis presenting after a SARS-CoV-2 infection

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