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甲磺酸伊马替尼治疗的慢性髓性白血病患者的双侧弓形虫性视网膜炎脉络膜炎。

Bilateral toxoplasma retinochoroiditis in a patient with chronic myeloid leukemia treated with imatinib mesylate.

机构信息

LV Prasad Eye Institute, Bhubaneswar 751 024, India.

出版信息

Ocul Immunol Inflamm. 2010 Jan;18(1):64-5. doi: 10.3109/09273940903315792.

DOI:10.3109/09273940903315792
PMID:20128654
Abstract

A 48-year-old man, on imatinib therapy for chronic myeloid leukemia, developed bilateral retino-choroiditis. Visual acuity was 20/100 and counting fingers at 2 m in both the right and left eye. Vitreous biopsy (left eye) revealed Toxoplasma gondii genome by polymerase chain reaction. Serum anti-toxoplasma IgG levels were significantly elevated. Blood counts were normal. Bcr-Abl/Abl transcript ratio was 0.016%. He was treated with oral co-trimoxazole, to which corticosteroids in tapering doses were added later. Imatinib therapy was continued. After 6 weeks of therapy, all retinal lesions regressed and vision improved to 20/30 and 20/40 in right and left eyes, respectively.

摘要

一位 48 岁男性,因慢性髓性白血病接受伊马替尼治疗,出现双眼视网膜脉络膜炎。右眼和左眼的视力分别为 20/100 和数指 2 米。左眼玻璃体活检通过聚合酶链反应显示刚地弓形虫基因组。血清抗弓形虫 IgG 水平显著升高。血细胞计数正常。Bcr-Abl/Abl 转录物比值为 0.016%。他接受了口服复方磺胺甲噁唑治疗,随后逐渐减少剂量加入皮质类固醇。继续伊马替尼治疗。治疗 6 周后,所有视网膜病变消退,视力分别改善至右眼 20/30 和左眼 20/40。

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