Papilledema from Hypervitaminosis A

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  • Contributor: Byron L. Lam, MD URL
  • Contributor: Benjamin Meyer, MD URL
  • Papilledema from Hypervitaminosis A H5P

    Description
    

    This patient presented with optic nerve edema. The medical history was significant for acute promyelocytic leukemia being treated with all-trans retinoic acid (ATRA). The picture however worsened in tandem with intracranial hemorrhage from possible intracranial leukemia, raising the concern for leukemic infiltration of his optic nerves.
    

    A diagnosis of papilledema from hypervitaminosis A was made. After stopping ATRA and starting acetazolamide there was clinical improvement.
    
    Uploaded on: 09/05/2022