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复发性多软骨炎并发渗出性视网膜脱离:病例报告及文献复习

Exudative retinal detachment in relapsing polychondritis : case report and literature review.

作者信息

Bhagat N, Green R L, Feldon S E, Lim J I

机构信息

Doheny Eye Institute and the Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.

出版信息

Ophthalmology. 2001 Jun;108(6):1156-9. doi: 10.1016/s0161-6420(01)00568-1.

Abstract

OBJECTIVE

To report the atypical ocular symptoms (arterialized conjunctival vessels, exudative retinal detachment) that can be the presenting manifestations of relapsing polychondritis.

DESIGN

Observational case report and literature review.

METHODS

A complete ocular and systemic evaluation was performed on a patient with relapsing polychondritis and exudative retinal detachment.

MAIN OUTCOME MEASURES

Retinal, choroidal, and scleral findings.

RESULTS

A 73-year-old man with relapsing polychondritis presented with a unilateral large bullous exudative retinal detachment and marked choroidal and scleral thickening bilaterally.

CONCLUSIONS

Ophthalmologists should consider relapsing polychondritis in the differential diagnosis of exudative retinal detachment. A combination of echographic and laboratory findings can assist in the accurate diagnosis of this rare condition.

摘要

目的

报告复发性多软骨炎可能出现的非典型眼部症状(结膜血管动脉化、渗出性视网膜脱离)。

设计

观察性病例报告及文献综述。

方法

对一名患有复发性多软骨炎及渗出性视网膜脱离的患者进行了全面的眼部和全身评估。

主要观察指标

视网膜、脉络膜和巩膜的检查结果。

结果

一名73岁患有复发性多软骨炎的男性患者出现单侧大泡性渗出性视网膜脱离,双侧脉络膜和巩膜明显增厚。

结论

眼科医生在渗出性视网膜脱离的鉴别诊断中应考虑复发性多软骨炎。超声检查结果和实验室检查结果相结合有助于准确诊断这种罕见疾病。

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