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Last additions - Coats Plus in an Adult

38 year old female The patient came down with arthritis and saw an ophthalmologist who did some testing and showed a retina problem.  She had severe blepharitis a few weeks ago.  There were some floaters the last few months.  With the combination of issues she is supposed to get regular vision checks.  There are some hemorrhages.  She has a history of a pale optic nerve the last 20 years (he husband is an ophthalmic technician).  There is no history of why.  Her hair started to turn white at age 14. She is being tested for an auto-immune disease.  The patient had a brain mass that was not a tumor that was operated on 3/2020.  There are other brain lesions that are being monitored.  She has been tested for lupus, hermansky polock syndrome.  She has kidney problems with a high creatinine possibly from medications.  There was possible Sjogren's.  She has been on the promacta for a year.  She recently moved here.  She has had anemia her whole life.  She had a decrease in her platelets and red cells after craniotomy.  The patient has chronic ITP and a 'benign brain tumor'.    The hematologist does not have an auto-immune work-up.  I spoke at length on the phone with her hematologist here, Dr. Kumar and her former hematologist in NY, Dr. Sammartino.  Her hair started to turn white when she was Medical Hx: Seizures at age 35 - Epilepsy. ITP. Possible Auto-Immune Disorder. Pulmonary Fibrosis. Pulmonary embolism - June 2020. Tachycardia. Anemia. Kidney Disease. Brain Lesions. Aneurysm. Osteomyelitis. Surgical Hx: Craniotomy. Epidectomy. Jaw Surgery. Shin Surgery. Systemic Meds: Promacta 75 MG Oral Tablet. levetiracetam 500 MG 24 HR Extended Release Oral Tablet. levetiracetam 750 MG 24 HR Extended Release Oral Tablet. FOLIC ACID. VA OD: Dcc20/25 OS: Dcc20/63 IOP: TP: OD:13 OS:16

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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)147 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)153 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)156 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)140 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)138 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)128 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)143 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)154 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)173 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)136 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_16.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)173 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)129 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)146 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)162 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_12.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)143 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_11.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)140 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)152 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)145 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_01.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)145 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_08.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)167 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
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Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)168 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_04.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)141 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_03.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)166 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_02-ed.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)149 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
coats2B112257_110322_01-ed.jpg
Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)170 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/Apr 14, 2025
     
25 files on 1 page(s)

38 year old female The patient came down with arthritis and saw an ophthalmologist who did some testing and showed a retina problem.  She had severe blepharitis a few weeks ago.  There were some floaters the last few months.  With the combination of issues she is supposed to get regular vision checks.  There are some hemorrhages.  She has a history of a pale optic nerve the last 20 years (he husband is an ophthalmic technician).  There is no history of why.  Her hair started to turn white at age 14. She is being tested for an auto-immune disease.  The patient had a brain mass that was not a tumor that was operated on 3/2020.  There are other brain lesions that are being monitored.  She has been tested for lupus, hermansky polock syndrome.  She has kidney problems with a high creatinine possibly from medications.  There was possible Sjogren's.  She has been on the promacta for a year.  She recently moved here.  She has had anemia her whole life.  She had a decrease in her platelets and red cells after craniotomy.  The patient has chronic ITP and a 'benign brain tumor'.    The hematologist does not have an auto-immune work-up.  I spoke at length on the phone with her hematologist here, Dr. Kumar and her former hematologist in NY, Dr. Sammartino.  Her hair started to turn white when she was Medical Hx: Seizures at age 35 - Epilepsy. ITP. Possible Auto-Immune Disorder. Pulmonary Fibrosis. Pulmonary embolism - June 2020. Tachycardia. Anemia. Kidney Disease. Brain Lesions. Aneurysm. Osteomyelitis. Surgical Hx: Craniotomy. Epidectomy. Jaw Surgery. Shin Surgery. Systemic Meds: Promacta 75 MG Oral Tablet. levetiracetam 500 MG 24 HR Extended Release Oral Tablet. levetiracetam 750 MG 24 HR Extended Release Oral Tablet. FOLIC ACID. VA OD: Dcc20/25 OS: Dcc20/63 IOP: TP: OD:13 OS:16