A case report: Reactivation of tubercular infection presenting as bilateral frosted branch angiitis


Article PDF :

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Article type :

Case Report

Author :

Sana Mariyam, Naheed Akhtar*, Abdul Waris, Anupam Ahuja, Summaiyya Khan

Volume :

10

Issue :

3

Abstract :

Background: Frosted branch angiitis is a rare form of angiitis having multifactorial associations. Tubercular retinitis is a common association with frosted branch angiitis. Aim of this study is to show that frosted branch angiitis can be the only presenting symptom of reactivated tubercular infection. Result: A female patient presented with severe diminution of vision in both eyes and bilateral severe form of retinal vasculitis. She had a positive skin tuberculin test. Radiological investigation (HRCT Chest) revealed an old healed infection in the form of fibrotic streaks. She had previous history of Tuberculosis 17 years back and she didn’t complete the ATT course at that time. Conclusion: Reactivation of Tubercular infection can present as frost branch angiitis. Prompt diagnosis and effective management helps in preventing as well as reversing the loss of vision.  

Keyword :

Frosted branch angiitis, Vasculitis, Tubercular infection.