PMC3992748_01
(a) Fundus photograph of the patient shows tapeto - retinal degeneration with bone - corpuscle like pigment dispersion in the mid-periphery of the retina and minimal attenuation of retinal arterioles, suggestive of an atypical form of RP, (b) Peripheral smear shows numerous acanthocytes, (c) Axial T2W magnetic resonance imaging of the cervical spine shows hyperintense signals in the dorsal columns
AIAN-17-113-g001.jpg
PMC3992748_01_AIAN-17-113-g001.jpg
F1
Fundus examination showed evidence of atypical RP [Figure 1a]. Presently, at the time of evaluation at our centre, hemogram revealed hemoglobin: 12.4 g%, total leucocyte count (TLC): 5500 cells/mm3, erythrocyte sedimentation rate (ESR): 2 mm (1st h), while the peripheral smear showed normocytic to macrocytic and normochromic RBCs and numerous acanthocytes [Figure 1b]. Magnetic resonance imaging (MRI) of brain revealed a normal study; there was no cerebellar atrophy, while the cervical cord showed T2-hyperintense signal changes in the dorsal column [Figure 1c].