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hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)

56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Hydroxychloroquine_-_Plaquenil_Toxicity_-_three_years_post_stopping_meds_VA_2080_OD_20200_OS_-_mekir-083120_03.jpg Plaquenil_Toxicity_-_three_years_post_stopping_meds_VA_2080_OD_20200_OS_-_mekir-083120_-_01.jpg plaquenil-_progression_after_stopping.jpg mactel_brdar_022820_28.jpg mactel_brdar_022820_27.jpg