Another 'BEE'? - Brain-Eye-Ear (BEE) Disease Secondary to HbSC Disease Masquerading as Multiple Sclerosis

Asya Izraelit Wallach, Maria J Borja, Duan Chen, Rachel Eisenberg, Yasha S Modi, Cen Zhang, Timothy M Shepherd, Avindra Nath, Bryan Smith, Jose U Scher, Catherine Cho, Ilya Kister
Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association 2021 January 19, 30 (4): 105618
33482571
Recurrent episodes of neurological dysfunction and white matter lesions in a young adult raise suspicion for multiple sclerosis (MS). However, occlusive retinopathy, hearing loss and absence of CSF oligoclonal bands are atypical for MS and should make the clinician consider an alternative diagnosis. We describe a man with hearing loss, visual signs and symptoms, and an accumulating burden of brain lesions, who was treated for a clinical diagnosis of MS for nearly two decades. Genetic testing revealed a unifying diagnosis.

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