Case 20-2016 A 50-Year-Old Man with Cloudy Vision, Hearing Loss, and Unsteadiness

A 50-year-old man with psoriatic arthritis and HIV infection presented with cloudy vision, decreased hearing, and gait instability. Two months earlier, the patient had begun taking antiretroviral medications. A diagnostic test result was received. Presentation of Case Dr. Eric D. Gaier (Ophthalmolog...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 374; no. 26; pp. 2586 - 2593
Main Authors: Eliott, Dean, Papaliodis, George N, Durand, Marlene L, Turbett, Sarah E
Format: Journal Article
Language:English
Published: Massachusetts Medical Society 30-06-2016
Online Access:Get full text
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Summary:A 50-year-old man with psoriatic arthritis and HIV infection presented with cloudy vision, decreased hearing, and gait instability. Two months earlier, the patient had begun taking antiretroviral medications. A diagnostic test result was received. Presentation of Case Dr. Eric D. Gaier (Ophthalmology): A 50-year-old man with psoriatic arthritis and human immunodeficiency virus (HIV) infection was seen at the Massachusetts Eye and Ear Infirmary because of cloudy vision. The patient had been in his usual state of health until 3 days before this evaluation, when cloudy vision in both eyes developed gradually over the course of the day. Three days later, he sought medical attention at the emergency department of the Massachusetts Eye and Ear Infirmary. On arrival, he reported fatigue. He also reported that the rash, joint pain, and stiffness associated with his psoriatic . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMcpc1600611