Coats' disease in Tanzania: first case report and literature review.

Abstract:

BACKGROUND:Coats' disease is an exudative retinal detachment with vascular telangiectasis occurring mostly in male children, the age group most affected by retinoblastoma. OBJECTIVES:Compare the differential diagnoses of Coats' disease Establish recommendation to early disease detection. MATERIALS AND METHODS:A 3-year-old female child was referred to Muhimbili National Hospital (MNH), Tanzania, in September 2011. She had presented at the peripheral hospital with gradual onset of left eye leukocoria for 1 year and pain for 2 months. B-scan showed a mass in the left eye. A clinical diagnosis of retinoblastoma was made. Left eye enucleation was performed; the patient was referred to MNH, with the enucleated specimen. RESULTS:Brain and orbits scan revealed no residual tumour. The globe measured 2 x 1.8 cm, the optic nerve stump measured 3 mm. A whitish mass filled the vitreous, with complete retinal detachment. Microscopy showed retinal gliosis, detachment with sub retinal PAS positive exudates, vacuolation and cholesterol clefts. Foreign body giant cells were present; telangiectatic thin-walled blood vessels were identified. Clinico-pathological findings were of stage 4 Coats' disease. CONCLUSION:Coats' disease is an important differential diagnosis of retinoblastoma. Delay to detect Coats' disease leads to vision loss which necessitates eye enucleation as was in this child.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Rugwizangoga B,Mwabili T,Scanlan T,Meyer P,Kitinya J

doi

10.4314/ahs.v14i3.37

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

763-8

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v14.i3.pg763

journal_volume

14

pub_type

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