Description

Cotton wool spots may affect the retina in a number of conditions.


 

Thrombo-embolic conditions:

(1) amniotic fluid emboli

(2) microemboli associated with cardiac surgery

(3) protein S or C deficiency

(4) fat emboli (Purtscher retinopathy)

 

Autoimmune disorders/vasculitis

(1) dermatomyositis

(2) polymyositis

(3) scleroderma

(4) systemic lupus erythematosus (SLE)

(5) polyarteritis nodosa (PAN)

(6) rheumatoid arthritis

(7) serum sickness

(8) Takayasu syndrome

 

Blood pressure-related:

(1) hypotensive retinopathy

(2) toxemia of pregnancy

(3) pheochromocytoma

(4) malignant hypertension

 

Infection-related:

(1) HIV

(2) pneumonia

(3) rheumatic fever

(4) Rift Valley fever

(5) Rocky Mountain Spotted Fever (RMSF)

(6) subacute bacterial endocarditis (with Roth spots)

 

Anemia-related:

(1) pernicious anemia

(2) aplastic anemia

(3) severe acute blood loss (may be associated with hypotension)

(4) acute or chronic anemia

 

Hematologic disorders:

(1) Hodgkin’s disease

(2) leukemia

(3) multiple myeloma

(4) Waldenstrom’s macroglobulinemia

(5) primary amyloidosis

 

Miscellaneous:

(1) acute pancreatitis

(2) cirrhosis

(3) diabetic retinopathy

(4) carbon monoxide poisoning

(5) cancer-related cachexia

(6) primary open-angle glaucoma

 


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