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International Ophthalmology

, Volume 32, Issue 6, pp 519–521 | Cite as

An unusual cause of macular infarction: protein-losing enteropathy

  • Sinha Subijay
  • Gupta Shikha
  • Bhadange Yogesh
  • Gogia Varun
  • Khanduja Sumeet
  • Venkatesh Pradeep
Letter to the Editor

Abstract

Protein-losing enteropathy is a multisystem disorder characterized by abnormally high loss of plasma proteins in the gastrointestinal tract. In addition to loss of plasma proteins there is also loss of anticoagulant globulins leading to a prothrombotic state in the body. Single case observation. The patient developed unilateral macular infarction with non-embolic cerebral infarct due to loss of Antithrombin 3 and Protein S proteins in the gastrointestinal tract. The patient had poor recovery of vision due to severe ischemic retinal injury. The gastroenterology team should be on an alert to rule out prothrombotic states in such patients to prevent such complications.

Keywords

Protein-losing enteropathy Macular infarction Stroke 

References

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    Feiner M, Odeh M, Oliven A et al (2001) Macular infarction in thrombotic thrombocytopenic purpura. Ocul Immunol Inflamm 9:273–275PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  • Sinha Subijay
    • 1
  • Gupta Shikha
    • 1
  • Bhadange Yogesh
    • 1
  • Gogia Varun
    • 1
  • Khanduja Sumeet
    • 1
  • Venkatesh Pradeep
    • 1
  1. 1.Vitreo-Retina Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMSNew DelhiIndia

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