Conrath J, Hadjadj E, Serratrice J, Ridings B
Service d'Ophtalmologie, CHU Timone, 264, rue Saint Pierre, 13385 Marseille cedex 05.
J Fr Ophtalmol. 2004 Feb;27(2):162-5. doi: 10.1016/s0181-5512(04)96112-8.
We report a case of branch retinal vein occlusion in a 28-year-old woman that revealed Takayasu's arteritis. Somatic examination showed humeral blood pressure asymmetry and an abdominal murmur; a biological inflammatory syndrome was noted. Abdominal aortography showed marked stenosis of the superior mesenteric artery. Three of the six diagnostic criteria of Takayasu's arteritis were present in our patient, sufficing to make the diagnosis. This is the first case reported of branch retinal vein occlusion revealing Takayasu's arteritis. It is to be added to the List of atypical initial manifestations of Takayasu's arteritis such as anterior ischemic optic neuropathy. Branch retinal vein occlusion is a rare enough occurrence in a 28-year-old patient to warrant further clinical investigation.
我们报告了一例28岁女性的视网膜分支静脉阻塞病例，该病例显示为高安动脉炎。体格检查发现肱动脉血压不对称及腹部杂音；存在生物性炎症综合征。腹部主动脉造影显示肠系膜上动脉明显狭窄。我们的患者具备高安动脉炎六项诊断标准中的三项，足以做出诊断。这是首例报道的因视网膜分支静脉阻塞而发现高安动脉炎的病例。它应被添加到高安动脉炎非典型初始表现列表中，如前部缺血性视神经病变。视网膜分支静脉阻塞在一名28岁患者中实属罕见，值得进一步临床研究。
