Chloroquine maculopathy oct

Discussion in 'Canadian Drugs' started by vaaad, 26-Feb-2020.

  1. surzhik New Member

    Chloroquine maculopathy oct


    She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation.

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    We herein report the optical coherence tomography OCT findings in a case of chloroquine-induced macular toxicity, which to our knowledge, has so far not been reported. A 53- year-old lady on chloroquine for treatment of rheumatoid arthritis developed decrease in vision 36 months after initiation of the treatment. Hydroxychloroquine Plaquenil; HCQ has been an important and effective drug for the treatment of lupus erythematosus and related autoimmune and inflammatory diseases for half a century, although its potential to cause retinal damage continues to raise concern among rheumatologists and ophthalmologists. The differential diagnosis of bull’s eye maculopathy commonly includes drug induced- hydroxychloroquine or chloroquine retinopathy, Stargardt disease, cone dystrophy, and benign concentric macular dystrophy. MacTel should be added to the differential for bull’s eye maculopathy. Case report

    Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use.

    Chloroquine maculopathy oct

    Torpedo maculopathy - EyeWiki, Hydroxychloroquine Retinopathy Still Alive and Well - The.

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  5. To report expanded SD-OCT findings of HCQ retinopathy that may assist the clinician in earlier diagnosis. To characterize structural changes of HCQ retinopathy with SD-OCT after drug cessation. Setting Private practice and academic institution. Patient Population Patients at New England Eye Center and Ophthalmic Consultants of Boston in Boston, MA diagnosed with HCQ retinopathy and followed.

    • Expanded spectral domain-OCT findings in the early detection of..
    • Macular Telangiectasia A cause of bull’s eye maculopathy.
    • How to Succeed in Plaquenil Screenings.

    Chloroquine maculopathy Condition/keywords chloroquine maculopathy, drug toxicity Photographer Ricardo Montoya, Asociación para Evitar la Ceguera en México Description Fundus of the right eye of a 56 year-old female with history of rheumatoid arthritis treated with chloroquine. Related files Hydroxychloroquine Plaquenil and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported. This article focuses upon hydroxychloroquine retinopathy. Disease Some patients, toxicity may first present as pericentral retinopathy and thus requires screening outside the macula. We assume chloroquine retinopathy follows a similar course as hydroxychloroquine retinopathy and so these guidelines also apply to patients taking chloroquine therapy.

     
  6. oppopleli User

    I accidentally took two doses of prednisone (120) mg tonight instead of 60mg should i continue tomorrow with my 60 and finish the taper like normal Doctor's Assistant: What medications do you take daily? Cholthalidone, lisinopril and norvasc Doctor's Assistant: Anything else in your medical history you think the doctor should know? Mental Health - Depression Accidentally doubled my dose, and. Weekly Dose methotrexate, the anti-inflammatory drug that can kill if. I accidentally took my amlodipine dose twice in the same day.
     
  7. cxvbcvc Guest

    Can Rheumatoid Arthritis Patients Get a Flu Shot? 15 Facts on. Jan 08, 2013 7. Can I be vaccinated while taking Plaquenil? Plaquenil is not considered immunosuppressive enough to avoid live vaccines, but any DMARD could alter how effective a vaccine is or how long immunity lasts. 8. Can I be vaccinated while taking Arava? Leflunomide Arava is a stronger immunosuppressant and live vaccines are supposed to be avoided. 9.

    Vaccinations for Rheumatoid Arthritis
     
  8. crepej Moderator

    Hydroxychloroquine 200 mg Tablets Generic Plaquenil If you are currently using this medication, tell your doctor or pharmacist before starting hydroxychloroquine. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of digoxin, drugs that may be harmful to your liver e.g. high doses of acetaminophen.

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