# A Rare Case of Pseudoxanthoma Elasticum Identified by Ocular Angioid Streaks

## TL;DR

A 42-year-old woman with vision issues was diagnosed with a rare condition called pseudoxanthoma elasticum through eye and skin observations.

## Contribution

This case highlights the importance of interdisciplinary evaluation in diagnosing rare systemic diseases through ocular findings.

## Key findings

- Ocular angioid streaks and skin appearance led to the diagnosis of pseudoxanthoma elasticum.
- Intravitreal bevacizumab improved the patient's visual acuity.
- The case emphasizes the need for dermatological referral when ocular symptoms suggest systemic disease.

## Abstract

A 42-year-old female with a known case of hypertension for three years, symptoms of metamorphopsia, and decreased vision in both eyes reported to the ophthalmology outpatient department. There was no recorded history of ocular injury or surgery. Several observational techniques, such as fundus inspection, fundus camera photography, and optical coherence tomography (OCT), were utilized to assess the patient. We referred her to the Department of Dermatology for additional assessment because of her symptoms as well as the appearance of her neck's skin, which matched "plucked chicken skin." There, the diagnosis of pseudoxanthoma elasticum (PE) was confirmed. She was subsequently scheduled for an intravitreal bevacizumab injection called Avastin, which improved her visual acuity.