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A 37-year-old man with a black spot in his vision
Digital Journal of Ophthalmology 2010
Volume 16, Number 1
February 9, 2010
DOI: 10.5693/djo.03.2009.12.001
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Ann-Marie Lobo, MD
| Massachusetts Eye & Ear Infirmary and Harvard Medical School
George N. Papaliodis, MD
| Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, and Harvard Medical School
HISTORY
EXAMINATION
ANCILLARY TESTING
TREATMENT
DIFF. DIAGNOSIS
DIAGNOSIS AND DISCUSSION
REFERENCES
Ancillary Testing
Laboratory testing: All NORMAL
• ANA
• RF
• ds DNA
• anti-Ro
• anti-La
• C3/C4
• anti-RNP
• anti-Smith
• lupus anticoagulant
• Thyroid function tests
• Homocystine
• Lipoprotein a
• anticardiolipin antibody
• beta-2 glycoprotein
• ANCA
• Plasminogen activating inhibitor
• Protein C and S
• Factor V Leiden deficiency
• Antithrombin III
• Prothrombin gene mutation 20210
• Hemoglobin electropheresis
• Lyme antibody
• HBV
• HCV
• RPR
• Erlichia
• Babesiosis
• ACE
• HIV
• SPEP
• Cryocrit
• ESR
• C-reactive protein
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Figure 5
MRI (T2 FLAIR images): focal hyperintense lesions in the white matter and gray matter.