双侧巩膜外层炎作为皮肤白细胞破碎性血管炎的一种表现。
Bilateral episcleritis as a manifestation of cutaneous leukocytoclastic vasculitis.
作者信息
Bollinger K, Medina C, Perez V L
机构信息
Cleveland Clinic Foundation, Cole Eye Institute, Cleveland, Ohio, USA.
出版信息
Ocul Immunol Inflamm. 2009 Jan-Feb;17(1):23-5. doi: 10.1080/09273940802553287.
PURPOSE
The authors describe how bilateral episcleritis can be a sign of active systemic disease and can respond to treatment in a patient with cutaneous leukocytoclastic vasculitis.
DESIGN
Case report.
METHODS
Comprehensive ophthalmic and physical examination and color photography were used to monitor inflammation and its response to systemic immunosuppression.
RESULTS
Systemic cyclophosphamide caused regression of systemic symptoms, cutaneous lesions, and episcleritis. After an 8-month follow-up, the patient has not had a systemic or ocular recurrence.
CONCLUSION
Episcleritis may be a manifestation of cutaneous leukocytoclastic vasculitis. Careful examination of ocular inflammation is important in monitoring systemic disease and treatment.
目的
作者描述了双侧巩膜炎如何可能是活动性全身性疾病的体征，以及在一名皮肤白细胞破碎性血管炎患者中对治疗的反应。
设计
病例报告。
方法
采用全面的眼科和体格检查以及彩色摄影来监测炎症及其对全身免疫抑制的反应。
结果
全身使用环磷酰胺使全身症状、皮肤病变和巩膜炎消退。经过8个月的随访，患者未出现全身或眼部复发。
结论
巩膜炎可能是皮肤白细胞破碎性血管炎的一种表现。仔细检查眼部炎症对于监测全身性疾病和治疗很重要。
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