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[以突然失明为表现的急性胰腺炎]

[Acute pancreatitis presenting as sudden blindness].

作者信息

López-Tizón E, Reinoso-Montalvo C, Mencía-Gutiérrez E, Gutiérrez-Díaz E

机构信息

Servicio de Oftalmología, Hospital 12 de Octubre, Universidad Complutense, Madrid, Spain.

出版信息

Arch Soc Esp Oftalmol. 2006 Mar;81(3):161-3. doi: 10.4321/s0365-66912006000300008.

Abstract

CASE REPORT

A 36-year-old man with a history of alcohol abuse presented with sudden blindness. The ophthalmologic examination showed Purtscher-like retinopathy. The presumed diagnosis was acute pancreatitis, which was confirmed by complementary laboratory studies.

DISCUSSION

Sudden acute visual loss with Purstcher-like retinopathy may be present in acute pancreatitis, although it is a very rare as a presenting symptom. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease and prevent later complications.

摘要

病例报告

一名有酗酒史的36岁男性出现突然失明。眼科检查显示有类似普尔夏视网膜病变。初步诊断为急性胰腺炎,后续实验室检查予以证实。

讨论

急性胰腺炎可能会出现伴有类似普尔夏视网膜病变的急性视力丧失,尽管这作为首发症状非常罕见。基于眼部症状的早期诊断可能有助于疾病的识别与治疗,并预防后期并发症。

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