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裂谷热与立克次体性视网膜炎,包括荧光素血管造影(作者译)

[Rift valley fever and rickettsial retinitis including fluorescein angiography (author's transl)].

作者信息

Cohen C, Luntz M H

出版信息

Klin Monbl Augenheilkd. 1976 Dec;169(6):685-99.

PMID:1037109
Abstract

Three cases of Rift Valley fever retinitis and one case of Tick Bite fever retinitis are presented. The clinical features are indistinguishable, manifesting as localised areas of retinal ischaemia and soft exudate formation. Fluorescein angiography shows that there is primary involvement of the retinal circulation without involvement of the choroidal circulation. Vascular occlusion is a feature of the retinal pathology. These patients were treated with steroids and immunosuppressives as their maculae were threatened and they all regained normal to near normal vision except in one case in whom old macula scarring from previous episodes of the disease prevented visual improvement.

摘要

本文报告了3例裂谷热视网膜炎和1例蜱咬热视网膜炎。其临床特征难以区分,表现为视网膜缺血局部区域和软性渗出物形成。荧光素血管造影显示视网膜循环首先受累,脉络膜循环未受累。血管闭塞是视网膜病理的一个特征。由于这些患者的黄斑受到威胁,因此接受了类固醇和免疫抑制剂治疗,除1例因该病既往发作导致黄斑陈旧性瘢痕形成而无法改善视力外,其他患者的视力均恢复正常或接近正常。

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