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Hydroxychloroquine (plaquenil) Toxicity - Advanced 78 year old female No visual complaints referred for evaluation Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis. Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM. VA OD: Dcc20/32-2 NccJ2 VA OS: Dcc20/25+1 NccJ1-1 IOP: TP: OD:14 OS:15 Color Ishihara OD 9/11 correct, OS 9.5/11 correct Weight 100 lbs, Height 4’ 2” tall. 1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021 The patient weighs 100 lbs and is 4’ 2” tall - Images are from 3/2021 and 5/2022 There was no progression 1 year after stopping plaquenil in this patient.

Hydroxychloroquine (plaquenil) Toxicity - Advanced

78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4’ 2” tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4’ 2” tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

plaquenil_elmcc2_020322_11.jpg plaquenil_elmcc2_020322_14.jpg plaquenil_elmcc2_020322_13.jpg plaquenil_elmcc2_020322_15.jpg plaquenil_elmcc2_020322_16.jpg