Rosenblatt M A, Cunningham C, Teich S, Friedman A H
Department of Ophthalmology, Mt Sinai School of Medicine, New York, NY.
Br J Ophthalmol. 1990 Oct;74(10):610-4. doi: 10.1136/bjo.74.10.610.
Seven cases of bilateral, scattered, yellow-white choroidal lesions have been seen in AIDS patients since January 1988. One resulted from presumed extension of cryptococcal meningitis into the optic nerve and choroid. All the remaining six patients had pneumocystis pneumonia at some time during the course of the disease and were receiving aerosolised pentamidine therapy. None died quickly of disseminated Pneumocystis carinii infection, unlike previously reported patients. Mycobacterial infection was also present in five of these six patients. The differential diagnosis of this entity in AIDS patients is discussed.
自1988年1月以来，在艾滋病患者中已发现7例双侧散在的黄白色脉络膜病变。其中1例是由于推测隐球菌性脑膜炎蔓延至视神经和脉络膜所致。其余6例患者在病程中的某个时间均患有卡氏肺孢子虫肺炎，并接受雾化喷他脒治疗。与之前报道的患者不同，这些患者均未因播散性卡氏肺孢子虫感染而迅速死亡。这6例患者中有5例还存在分枝杆菌感染。本文讨论了艾滋病患者中该病变的鉴别诊断。
