Orssaud C, Poisson M, Gardeur D
Service de Neurologie, Hôpital de la Salpêtrière, Paris.
J Fr Ophtalmol. 1992;15(3):205-8.
Whipple's disease, a chronic systemic and multi-organ disease can be associated with ophthalmological manifestations with or without CNS involvement. Myositis rarely occurs during Whipple's disease. Antibiotic treatment prevents CNS recurrence. We report here the association of an orbital pseudotumor with Whipple's disease. This myositis was discovered on a follow-up CT examination. It appeared only one year after the end of a long course of antibiotic treatment, but it resolved within a few weeks when treatment was reintroduced. Relations between these two diseases are discussed.
惠普尔病是一种慢性全身性多器官疾病,可伴有或不伴有中枢神经系统受累的眼科表现。肌炎在惠普尔病中很少发生。抗生素治疗可预防中枢神经系统复发。我们在此报告一例眼眶假瘤与惠普尔病的关联。这种肌炎是在随访CT检查中发现的。它在长期抗生素治疗结束后仅一年出现,但重新开始治疗后几周内就消退了。本文讨论了这两种疾病之间的关系。