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[类Purtscher视网膜病变:病例报告及文献复习]

[Purtscher-like retinopathy: case report and review of the literature].

作者信息

Proença Pina J, Ssi-Yan-Kai K, de Monchy I, Charpentier B, Offret H, Labetoulle M

机构信息

Service d'Ophtalmologie, CHU Bicêtre, APHP, Université Paris-Sud, Le Kremlin Bicêtre, France.

出版信息

J Fr Ophtalmol. 2008 Jun;31(6 Pt 1):609-13. doi: 10.1016/s0181-5512(08)75463-9.

Abstract

Purtscher's retinopathy is a rare condition, seen in patients with a history of trauma. Purtscher-like retinopathy includes the nontraumatic causes of this retinal disease, which is often misdiagnosed. The diagnosis is based on clinical settings and is supported by intravenous fluorescein angiography. We describe a case of acute, severe retinopathy in a patient experiencing a scleroderma renal crisis. We discuss the pathogeny, prognosis and treatment, which is still widely controversial.

摘要

普尔夏视网膜病变是一种罕见病症,见于有创伤史的患者。类普尔夏视网膜病变包括这种视网膜疾病的非创伤性病因,该病常被误诊。诊断基于临床情况,并得到静脉荧光素血管造影的支持。我们描述了一例硬皮病肾危象患者发生的急性、严重视网膜病变病例。我们讨论了其发病机制、预后和治疗,而治疗仍存在广泛争议。

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