A 62-year-old woman reported, for 13 years, multiple episodes of blurred vision in both eyes with subsequent full recovery of visual acuity.
The various sprouts that presented were treated with oral corticoid therapy, suspending them after the respective remissions.
He was diagnosed with serpiginous choroiditis by clinical and angiographic findings.
Her family history included a twin sister of her mother with a similar picture.
No personal history of interest.
In the last revision, dementia inactivea and visual acuity (VA) were found in the unit in spite of significant chorioretinal scarring in both eyes that presented in the posterior pole, including the macula.
The anterior segment showed no relevant findings and the intraocular pressure was 14 mmHg in both eyes.
The eye fundus showed lesions of geographical origin tricial, with multiple hypertrophy RPE variable throughout the posterior pole.
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Fluorescence angiography showed multiple lesions with mottled appearance due to hyperpigmentation and staining in late phases.
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Four months before, she developed flatulent dyspepsia, vomiting and pruritus.
Laboratory studies have shown increased transaminases (GOT 110 and GPT 90), glycoprotein (Gamma anti-Gamma) transnuclear antibodies Aeptidase 110, hypergamma-ntiglobulin (Igamma-Ig).
Anti-HBs antibody, anti-HBc antibody and anti-HCV antibody negative.
Liver ultrasound was normal.
The clinical picture had a good response to bile acids.
The suspected diagnosis was autoimmune hepatitis.
It was decided not to perform aggressive diagnostic tests such as liver biopsy due to the mild activity of the digestive picture.
