Arend N, Thurau S
Augenklinik der LMU, Klinikum der Universität München, Mathildenstr. 8, 80336, München, Deutschland.
Ophthalmologe. 2012 Dec;109(12):1214-6. doi: 10.1007/s00347-012-2598-8.
This article reports an unusual case of unilateral frosted branch angiitis. Three major groups of this disease are known: secondary frosted branch angiitis due to viral infection or autoimmune diseases, frosted branch-like angiitis related to malignant diseases and the rare entity of idiopathic frosted branch angiitis. A 58-year-old patient presented with strictly unilateral sheathing and partly occluded retinal arteries, vitritis and macular edema and 4 months prior to presentation he suffered a contusion of the eye with traumatic cataract and vitreous hemorrhage followed by cataract extraction and vitrectomy. The general medical history revealed that the contralateral eye and biochemical analyses were unremarkable despite slightly elevated antinuclear antibody (ANA) levels. Under high dose steroid therapy the patient showed slow improvement in all clinical findings. This case does not fit into any of the known groups and can therefore be defined as pseudoarteritis.
本文报道了一例罕见的单侧霜样树枝状视网膜血管炎病例。已知该疾病主要分为三大类：由病毒感染或自身免疫性疾病引起的继发性霜样树枝状视网膜血管炎、与恶性疾病相关的霜样树枝状视网膜血管炎样病变以及罕见的特发性霜样树枝状视网膜血管炎。一名58岁患者出现严格单侧的视网膜动脉鞘膜形成且部分闭塞、玻璃体炎和黄斑水肿，在发病前4个月，他的眼睛曾遭受挫伤，伴有外伤性白内障和玻璃体出血，随后接受了白内障摘除术和玻璃体切除术。全面的病史显示，尽管抗核抗体（ANA）水平略有升高，但对侧眼及生化分析均无异常。在高剂量类固醇治疗下，患者所有临床症状均有缓慢改善。该病例不符合任何已知类别，因此可定义为假性动脉炎。
