Mackiewicz Jerzy, Biziorek Barbara, Mackiewicz Barbara, Zagórski Zbigniew
1st Eye Hospital, Medical University of Lublin, Lublin, Poland.
Ann Univ Mariae Curie Sklodowska Med. 2003;58(1):158-60.
We report the case of a 21-year-old female patient afflicted with atopic asthma admitted to hospital in order to diagnose and treat bilateral uveitis. After diagnostic examination: serological tests for Candida and Aspergillus antigens, analysis of direct vitreous preparation and of culture searching for fungal and bacterial etiology, tests for antinuclear antibodies and for boreliosis, the diagnosis of idiopathic intermediate uveitis (pars planitis) were made. Routine treatment with Polcortolon in sub-Tenon's triamcinolone injection was applied. It resulted in acute allergic reaction characterized by blepharedema and chemosis. Hydrocortisone, Clemastin, Zyrtec, Calcium and locally Dexamethasone and Emadine in drops instilled to conjunctival sac were administered resulting in symptom disappearance.
我们报告了一名21岁患特应性哮喘的女性患者因双侧葡萄膜炎入院进行诊断和治疗的病例。经过诊断检查：念珠菌和曲霉菌抗原的血清学检测、直接玻璃体标本分析及真菌和细菌病因的培养检查、抗核抗体检测和莱姆病检测，诊断为特发性中间葡萄膜炎（睫状体平坦部炎）。采用了在Tenon囊下注射曲安奈德进行常规治疗。结果引发了以眼睑水肿和结膜水肿为特征的急性过敏反应。给予了氢化可的松、氯马斯汀、西替利嗪、钙剂，局部使用地塞米松滴眼液和埃美丁滴眼液滴入结膜囊，症状消失。
