Renard E, Chiquet C, Bouillet L, Romanet J-P
Service d'Ophtalmologie, CHU de Grenoble, Université Joseph Fourier, Grenoble, France.
J Fr Ophtalmol. 2009 Nov;32(9):664-8. doi: 10.1016/j.jfo.2009.04.030. Epub 2009 Jul 17.
A 30-year-old man with a history of skin and recurrent oral ulceration over 1 year developed loss of visual acuity in the right eye. The diagnosis of acute frosted branch angiitis was based on retinal vasculitis associated with retinal edema and hemorrhages, confirmed using fluorescein angiography (venous leakage and extensive staining of the vein walls). General examination revealed pseudofolliculitis and recurrent oral ulcers. The diagnosis of Behçet's disease was based on the international criteria. The patient was treated with prednisolone and colchicine, which were effective with a normalization of the fundus 1 month later. The initial presentation of Behçet's disease as frosted branch angiitis is exceptional, the main differential diagnosis being herpetic infections, which must be ruled out.
一名30岁男性,有1年多的皮肤及复发性口腔溃疡病史,右眼出现视力丧失。急性霜样树枝状视网膜血管炎的诊断基于视网膜血管炎伴视网膜水肿和出血,通过荧光素血管造影(静脉渗漏和静脉壁广泛染色)得以证实。全身检查发现假性毛囊炎和复发性口腔溃疡。白塞病的诊断基于国际标准。患者接受泼尼松龙和秋水仙碱治疗,1个月后眼底恢复正常,治疗有效。白塞病最初表现为霜样树枝状视网膜血管炎的情况较为罕见,主要鉴别诊断为疱疹感染,必须予以排除。