CASE 15

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History

A 12-year-old girl enters the hospital for evaluation of fever and generalized weakness. She states that her vision suddenly became blurred this week. Both eyes have similar findings.

Questions

1. Describe the ophthalmoscopic findings.

 

2. What are the histopathologic correlates of these findings?

 

3. What questions should be asked in the review of system? What physical findings would you look for?

 

4. What is the differential diagnosis? What is the most likely diagnosis?