单侧视乳头炎，仅是双侧吲哚青绿血管造影（ICGA）检出的结核性脉络膜炎冰山一角。
Unilateral papillitis, the tip of the iceberg of bilateral ICGA-detected tuberculous choroiditis.
机构信息
Centre for Ophthalmic Specialised Care (COS), Lausanne, Switzerland.
出版信息
Ocul Immunol Inflamm. 2011 Apr;19(2):124-6. doi: 10.3109/09273948.2010.530872.
PURPOSE
To report the case of a patient who presented with unilateral papillitis that turned out to be the visible feature of bilateral tubercular choroiditis.
DESIGN
Retrospective review of chart and clinical history of the patient.
METHODS
Case report of a 54-year-old Hispanic woman with visual complaints and papillitis in the left eye.
RESULTS
A complete and extended workup was negative and only indocyanine green angiography (ICGA) combined with a positive interferon gamma release assay (IGRA) pointed toward a diagnosis of bilateral tubercular choroiditis.
CONCLUSIONS
Without the help of ICGA the diagnosis of tuberculous choroiditis would have been missed.
目的
报告一例单侧视盘炎患者，其最终被诊断为双侧结核性脉络膜炎的表现。
设计
回顾患者的图表和临床病史。
方法
报告一例 54 岁西班牙裔女性，左眼出现视力下降和视盘炎。
结果
全面详尽的检查均为阴性，只有吲哚青绿血管造影（ICGA）联合干扰素γ释放试验（IGRA）阳性提示双侧结核性脉络膜炎的诊断。
结论
如果没有 ICGA 的帮助，结核性脉络膜炎的诊断将会被遗漏。
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