Bandyopadhyay Sanjay K, Moulick Avijit, Dutta Anita
Department of Medicine, Nil Ratan Sircar Medical College and Hospital, Kolkata.
J Indian Med Assoc. 2006 Sep;104(9):526-7.
Retinal vasculitis is an intra-ocular inflammatory condition with diverse aetiology and a rare manifestation of systemic lupus erythematosus, often associated with antiphospholipid antibodies. A 13 years male presented with fever for 20 days associated with photosensitive skin rashes. Three years back he had suffered painless, progressive dimness of vision. Then a clinical diagnosis of retinal vascular occlusion was made. Examination revealed his visual acuity was reduced to finger counting at 3 metres distance and extensive retinal vasculitis in the right eye. His serum antinuclear factor was positive in high titre. A final diagnosis was made as systemic lupus erythematosus. He was treated with methylprednisolone. His fever subsided, skin rashes healed and vision did not deteriorate further.
视网膜血管炎是一种病因多样的眼内炎症性疾病，是系统性红斑狼疮的罕见表现，常与抗磷脂抗体相关。一名13岁男性，发热20天，伴有光敏性皮肤皮疹。三年前，他出现无痛性、进行性视力减退。当时临床诊断为视网膜血管阻塞。检查发现他的视力降至3米处手指计数，右眼有广泛的视网膜血管炎。他的血清抗核因子高滴度阳性。最终诊断为系统性红斑狼疮。他接受了甲泼尼龙治疗。他的发热消退，皮肤皮疹愈合，视力未进一步恶化。
