HLA-A29-POSITIVE BIRDSHOT CHORIORETINOPATHY IN AN AFRICAN AMERICAN PATIENT.

PURPOSE: To report the first documented case of HLA-A29-positive birdshot chorioretinopathy in an African American patient. METHODS: A 51-year-old African American woman presented with a 10-year history of photopsia, progressive decrease in visual acuity, metamorphopsia, and new nyctalopia. Both fundi showed evidence of periphlebitis, arterial attenuation, macular edema, and diffuse chorioretinal atrophy. RESULTS: Fluorescein angiography revealed diffuse vascular leakage, and indocyanine green showed evenly distributed and symmetrical hypofluorescent spots, which were difficult to appreciate on fundoscopy. Workup revealed a positive HLA-A29 and was negative for sarcoid, tuberculosis, and syphilis. CONCLUSION: Birdshot chorioretinopathy overwhelmingly affects non-Hispanic Caucasians, but there have been rare reported cases in other ethnicities including Hispanics and African Americans. This patient's ethnicity may have contributed to the 10-year delay in diagnosis. To our knowledge, this is the first documented HLA-A29 positive case of birdshot chorioretinopathy in an African American. HLA-A29 may be a useful supportive test in cases with classic clinical presentation in non-Caucasian patients to enable the correct diagnose in a timely manner.

Dissolved air flotation treatment of Gulf shrimp cannery wastewater /

Mode of access: Internet.

Transactions of the American Fisheries Society.

There is no meeting designated as the 38th.

Transactions of the American Fisheries Society.

Mode of access: Internet.

Proceedings of the Fifth National Congress : Waste Management Technology and Resource & Energy Recovery /

Includes bibliographical references.

Federal Council bulletin.

Title from cover.

The American Shorthorn herd book.

Imprint varies: v. 1-23, 1846-82, Buffalo, N. Y., Jewett, Thomas [etc.]

American physical education review.

Includes the proceedings of the association's annual convention.

United States trotting association register.

Vol. 24, 1928- issued as Part 2 of the association's annual yearbook of trotting and pacing.

American Leicester record.

Ceased publication with v. 15, 1927?

Proceedings of the annual meeting of the New Jersey Mosquito Extermination Association.

Title varies slightly.

The American political science review.

Editors: 1906-16, W.W. Willoughby and others; 1917-25, J.A. Fairlie and others; 1926- F.A. Ogg and others.

The social welfare forum. : Official proceedings [of the] annual meeting.

Volume for 1874 (originally published in the Journal of social science, no. 6) was issued without title by the American Social Science Association; reprinted in 1885 under title Proceedings of the first Conference of Charities and Correction.

Papers of the American Society of Church History.

Includes annual reports.

Modern road building; being reports of the Transactions of the first Congress of American Road Builders held at Seattle, Washington, July 4, 1909.

Session held in Washington Good Roads Building Alaska-Yukon-Pacific Exposition, Seattle.