CASE REPORT


Atypical Macular Presentation in a FRAT Case and HANAC Syndrome, A Case Report



Felipe de Queiroz Tavares Ferreira1, *, Marjorie Fornazier do Nascimento de Queiroz2, André Luis Ayres da Fonseca1, Ana Cristina Lavor Holanda de Freitas1, Maurício Abujamra Nascimento1
1 Ophthalmology and Otorhinolaryngology Department, Medical Sciences School, University of Campinas, UNICAMP, Campinas, São Paulo State, Brazil.
2 Ophthalmology, Otorhinolaryngology and Neck Surgery Department, São Paulo State University, UNESP, Botucatu, São Paulo State, Brazil.


© 2021 Ferreira et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Ophthalmology and Otorhinolaryngology Department, Medical Sciences School, University of Campinas, UNICAMP, Campinas, São Paulo State, Brazil; Tel: 21983440676:
E-mail: felipeqtf@hotmail.com


Abstract

Purpose:

Report an atypical Familial Retinal Arterial Tortuosity (FRAT) case associated with Hereditary Angiopathy with Nephropathy, Aneurysm and Cramps (HANAC).

Methods:

The authors report the case of a female patient with FRAT and HANAC, and an asymmetric ocular presentation which is unusual in Familial Retinal Arterial Tortuosity patients.

Conclusion:

These findings help in better understanding this rare disease. HANAC Syndrome is not a common issue; thus, it is essential to understand it to make the right diagnosis. Careful ophthalmological examination plays a key role in this process since, in the herein reported case, it could have helped to diagnose a disease capable of affecting a patient’s health, although it was an atypical ocular impairment.

Keywords: Familial retinal arteriolar tortuosity, Macular hemorrhages, Retina, Retinal vascular tortuosity, Retinal vessels, Spontaneous retinal hemorrhages.