一名获得性弓形虫病患者出现的霜样树枝状视网膜血管炎及晚期周边视网膜脉络膜瘢痕。
Frosted branch angiitis and late peripheral retinochoroidal scar in a patient with acquired toxoplasmosis.
作者信息
Díaz-Valle D, Díaz-Rodríguez E, Díaz-Valle T, Benítez del Castillo J M, Toledano N, Fernández Aceñero M J
机构信息
Cornea and Ocular Inflammation Unit, Department of Ophthalmology, Hospital General de Móstoles, Madrid, Spain.
出版信息
Eur J Ophthalmol. 2003 Oct;13(8):726-8. doi: 10.1177/112067210301300812.
PURPOSE
To report a case of acute frosted branch angiitis associated with acquired toxoplasmosis in which a late peripheral chorioretinal scar developed.
RESULTS
A 32-year-old man without systemic symptoms presented with sudden visual loss in his left eye. Examination demonstrated frosted branch angiitis without necrotizing chorioretinitis. Serologic tests showed elevated Toxoplasma gondii-specific immunoglobulin M antibody titers. Antitoxoplasmic therapy and oral steroids healed the ocular inflammation. In a follow-up visit one year later, a peripheral chorioretinal scar was noted.
CONCLUSIONS
Acute frosted branch angiitis without focal necrotizing chorioretinitis can be a manifestation of acquired toxoplasmosis. This could be an important, and sometimes forgotten, sign of the disease.
目的
报告1例与获得性弓形虫病相关的急性霜样树枝状视网膜血管炎病例，该病例出现了晚期周边脉络膜视网膜瘢痕。
结果
一名32岁无全身症状的男性突然出现左眼视力丧失。检查显示为霜样树枝状视网膜血管炎，无坏死性脉络膜视网膜炎。血清学检查显示弓形虫特异性免疫球蛋白M抗体滴度升高。抗弓形虫治疗和口服类固醇使眼部炎症痊愈。在一年后的随访中，发现了周边脉络膜视网膜瘢痕。
结论
无局灶性坏死性脉络膜视网膜炎的急性霜样树枝状视网膜血管炎可能是获得性弓形虫病的一种表现。这可能是该疾病一个重要且有时被忽视的体征。
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