与 Vogt-Koyanagi-Harada 病相关的类羊肉脂状视网膜下沉淀物。
Mutton fat-like subretinal precipitates associated with Vogt-Koyanagi-Harada disease.
机构信息
Department of Ophthalmology, Iwate Medical University, School of Medicine, Morioka 020-8505, Japan.
出版信息
Ocul Immunol Inflamm. 2010 Jan;18(1):44-5. doi: 10.3109/09273940903342408.
PURPOSE
To report a case of Vogt-Koyanagi-Harada (VKH) disease presenting mutton fat like subretinal precipitates.
DESIGN
Observational case report.
METHODS
A 52-year-old Japanese woman developed bilateral uvetis with serous retinal detachment and mutton fat like subretinal precipitates.
RESULTS
According to Opthalmologic, auditory, and systemic examination, we diagnosed the patient with VKH disease. Inflamation was controlled by three time steroid therapy and subretinal fluid and precipitates decreased and disappeared.
CONCLUSIONS
Subretinal granulomatous lesion may present a manifestation of VKH and mean long standing subretinal fluid and inflammation.
目的
报告一例 Vogt-Koyanagi-Harada（VKH）病，表现为似羊肉脂状的视网膜下沉淀物。
设计
观察性病例报告。
方法
一位 52 岁的日本女性出现双侧葡萄膜炎伴浆液性视网膜脱离和似羊肉脂状的视网膜下沉淀物。
结果
根据眼科、听觉和全身检查，我们诊断该患者患有 VKH 病。通过 3 次类固醇治疗控制了炎症，视网膜下液和沉淀物减少并消失。
结论
视网膜下肉芽肿性病变可能是 VKH 的一种表现，意味着长期存在视网膜下液和炎症。
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