Aravind Palraj/X
Sep 14, 2026, 04:38
Aravind Palraj: Uncovering the Drivers of Occlusive Retinal Vasculitis in Young Patients
Aravind Palraj, Senior Resident in Clinical Immunology and Rheumatology at Madras Medical College, shared a post on X:
“Occlusive retinal vasculitis in a young adult deserves a structured work-up.
The key question is not just ‘Is this vasculitis?’
It is: what is driving the vascular occlusion?
Important possibilities include:
- Behçet disease
- Ocular TB / Eales spectrum
- Syphilis APS / other thrombotic states
- Sarcoidosis / ANCA-associated disease / infectious retinitis
Ultra-widefield fluorescein angiography helps define the retinal vascular phenotype and extent of ischemia.
Young age and occlusion should prompt a careful search for inflammatory, infectious, and thrombotic causes.”
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