Microscopic polyangiitis as seen in the sclera.    

  Right Eye     Left Eye

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Case study

Physical appearance

Carrie Wicks 55 years old, 87 Kg, 1,6m tall. Lymphatic eye. Slightly overweight, with graying hair.

Present complaints focusing on past 12 months:

Complained of tiredness and high blood pressure. 6 months ago she had blood in the urine, the urologist prescribed antibiotics and found nothing else wrong. No more blood in urine at this stage. Complained that her feet were swollen, and low energy levels.

  Her blood pressure at the time was 230/110. She was given 5 different types of blood pressure medication.

Current allopathic medication:

  Currently on 3 different types of blood pressure medication, but cannot get it below 200/100.   Doctor gave her a tranquilizer, Azor, saying she was stressed.

Emotional Trauma:

Her husband was in car accident 1992, financial stress was high since then and she did care-giving work in the UK to make ends meet. She was due to go back there in couple months and felt very resentful about this.

Previous Health History

  She was a healthy child and never had any operations. Cannot recall any serious events.

Diet

The diet was fair with no fried foods, salt or sweets and she loved vegetables, drank a lot of water, and ate fish and chicken, no red meat.

Family History;

Her mother had high blood pressure, did not know her father or any significant event with siblings and other family members. (No contact)

Bed time/sleep quality/Micturition

  Before 10pm./ She slept well /and did not have any Micturition.

General

  Memory was fine had no headaches. She did no exercise.

This patient died a month later of a heart attack. Post mortem showed microscopic polyangiitis. The disease is characterized as the immune system that attacks the kidneys and punches holes in the kidney sacks. The allopathic treatment should have been high doses of cortisone and immunosuppressants.

This was the sclera and iris picture I took.

Note the diffuse redness in the LlaQ and LloQ. The doctors diagnosed pink eye. At the time I also did not know what the significance of the redness was. Please note the CVZ5 bulge especially in the LlaQ. The kidney per se did   show   congestion behind the diffuse redness, but not to the extend that one would imagine. The RLOQ showed up a Bulwark in the bladder area.

The RLAQ showed a Heart warning sign and Red Wash,   and the Vital Forec was low.(12o'Clock both upper quadrants.)

The subconjunctival Hemorrhage can be seen from the breaking of the small capillaries.. The cause can be hypertension, bleeding disorers, Valsalva maneuvers, trauma, aspirin, abuse, some forms of conjunctivitis. or idiopathic (most common). Treatment is normally not needed and the condition normally resolves within 2 weeks.   Full medical evaluation can be done to rule out hypertonia or blood dyscrasias. In this case is was a very rare disease called microscopic polyangiitis, which is a autoimmune disease. It attacked her kidney, thus causing the high blood pressure, and hemorrhage.

The significance of this case study to me, is that the eye had the clue to something bigger going on here, and it was missed/dismissed.

Images are from the Grand Medicine Intro-Intensive course, or from Atri Wilson's own Archives.