Granulomatosis with Polyangiitis (Gpa) Presenting with Frosted Branch Angiitis

Rasanamar K. Sandhu, Tony Adams, Cailin Sibley, Eric B. Suhler, Donna H. Kim

Research output: Contribution to journalArticlepeer-review


Purpose:To report a case of frosted branch angiitis in a patient with granulomatosis with polyangiitis.Methods:Clinical case report. Imaging was obtained with pseudo-color scanning laser ophthalmoscope photographs, fluorescein angiography, spectral domain optical coherence tomography, and B-scan ultrasound.Results:A 24-year-old woman with a clinical history of granulomatosis with polyangiitis who presented with acute vision loss was found to have frosted branch angiitis with concurrent posterior scleritis and orbital inflammation. These findings improved rapidly after initiation of high-dose intravenous solumedrol.Conclusion:This is a unique case of frosted branch angiitis associated with granulomatosis with polyangiitis. The authors are not aware of a previous report of this association. Although rare, retinal vasculitis should be recognized as a potential complication of granulomatosis with polyangiitis and can respond rapidly to prompt initiation of therapy.

Original languageEnglish (US)
Pages (from-to)249-251
Number of pages3
JournalRetinal Cases and Brief Reports
Issue number3
StatePublished - 2016


  • Wegener granulomatosis
  • frosted branch angiitis
  • granulomatosis with polyangiitis
  • retinal vasculitis

ASJC Scopus subject areas

  • Ophthalmology


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