Rare Case of Granulomatosis With Polyangiitis Presenting With Simultaneous Bilateral Acute Central Retinal Artery Occlusion and Profound Mixed Hearing Loss

Abstract

Granulomatosis with polyangiitis (GPA) is an uncommon disease entity characterized by necrotizing granulomatous inflammation and pauci-immune vasculitis of predominantly medium and small vessels. It mainly effects the upper respiratory tract and the renal system. It rarely engulfs other systems like the eye and hearing apparatus. We hereby report an interesting case involving simultaneous involvement of bilateral central retinal artery and hearing loss as presenting illness in a case of GPA.

Keywords

• CARO
• granulomatosis with polyangiitis
• granulomatous
• necrotizing