一名患有特发性视网膜血管炎、动脉瘤和神经视网膜炎（IRVAN）综合征患者的动脉瘤在位置、形状和大小方面存在广泛动态变化。特发性视网膜血管炎、动脉瘤和神经视网膜炎。
Extensive dynamics in location, shape, and size of aneurysms in a patient with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis.
作者信息
Yeshurun Itamar, Recillas-Gispert Claudia, Navarro-Lopez Patricia, Arellanes-Garcia Lourdes, Cervantes-Coste Guadalupe
机构信息
Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
出版信息
Am J Ophthalmol. 2003 Jan;135(1):118-20. doi: 10.1016/s0002-9394(02)01823-8.
PURPOSE
To describe an unusual case of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome with rapid dynamics in the number and appearance of the aneurysms.
DESIGN
Observational case report.
METHODS
Clinical and angiographic data of the patient were reviewed.
RESULTS
In the course of only 6 months, preexisting retinal aneurysms resolved while new ones appeared. Changes were observed in the shape and size of preexisting lesions. The resolution of lesions in eyes previously untreated by laser is reported for the first time.
CONCLUSIONS
Vascular lesions in IRVAN syndrome may show an unusually rapid turnover. The resolution of aneurysms is a part of the natural course of the disease and may occur without previous retinal laser photocoagulation.
目的
描述一例特发性视网膜血管炎、动脉瘤和神经视网膜炎（IRVAN）综合征的罕见病例，该病例中动脉瘤的数量和外观变化迅速。
设计
观察性病例报告。
方法
回顾患者的临床和血管造影数据。
结果
在仅6个月的病程中，先前存在的视网膜动脉瘤消退，同时出现了新的动脉瘤。观察到先前存在病变的形状和大小发生了变化。首次报道了未经激光治疗的眼睛中病变的消退情况。
结论
IRVAN综合征中的血管病变可能显示出异常快速的变化。动脉瘤的消退是疾病自然病程的一部分，可能在没有先前视网膜激光光凝治疗的情况下发生。
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