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结节病相关性单侧视网膜动脉炎。

Sarcoidosis-associated Unilateral Retinal Arteritis.

机构信息

Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois 60637, USA.

出版信息

Ocul Immunol Inflamm. 2010 Jan;18(1):10-2. doi: 10.3109/09273940903391376.

Abstract

PURPOSE

To describe a case of sarcoidosis manifesting as a unilateral posterior uveitis and retinal arteritis.

DESIGN

Interventional case report.

METHODS

Clinical examination, fluorescein angiography, radiological imaging, and laboratory testing revealed evidence of a primary arteritis associated with sarcoidosis.

RESULTS

A 39-year-old white male presented with unilateral decreased vision, disc edema, exudative maculopathy, and retinal arteritis. Lab work and imaging were consistent with sarcoidosis. The patient responded to a 2-month course of oral prednisone and a sub-Tenon's triamcinolone injection.

CONCLUSIONS

Sarcoidosis should be considered in the differential diagnosis of uveitis associated with a primary retinal arteritis.

摘要

目的

描述一例以单侧后葡萄膜炎和视网膜动脉炎为表现的结节病。

设计

介入性病例报告。

方法

临床检查、荧光素血管造影、影像学和实验室检查显示存在与结节病相关的原发性动脉炎的证据。

结果

一名 39 岁白人男性出现单侧视力下降、视盘水肿、渗出性黄斑病变和视网膜动脉炎。实验室检查和影像学检查均符合结节病的特征。患者对 2 个月的口服泼尼松和经Tenon 囊下曲安奈德注射治疗有反应。

结论

结节病应被视为与原发性视网膜动脉炎相关的葡萄膜炎的鉴别诊断之一。

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