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[伴有多灶性脉络膜视网膜炎的视网膜血管炎]

[Retinal vasculitis with multifocal chorioretinitis].

作者信息

Schenck F, Böke W

机构信息

Abteilung Opthalmologie, Universitäts-Augenklinik Kiel.

出版信息

Klin Monbl Augenheilkd. 1990 Nov;197(5):378-81. doi: 10.1055/s-2008-1046296.

Abstract

Multifocal retinochoroiditis was diagnosed in 16 patients (13 female, 3 male). The patients also had cells in the vitreous, and in some cases pronounced retinal vasculitis, cystoid macular edema and papilledema. The patients' ages ranged from 62 to 77 years. There was anterior segment involvement in 13 cases. One patient had subretinal neovascularization in both eyes. Fluorescein angiograms revealed leaks from the retinal vessels, papilledema, and macular edema. So far, the authors have not succeeded in classifying the changes described as belonging to a known disease entity. The findings most closely resembled a disease described by Dreyer and Gass in 1984 as "multifocal choroiditis and panuveitis". Similar changes were seen by Tiedemann in 1987, in patients with Epstein-Barr viral antibodies.

摘要

16例患者(13例女性,3例男性)被诊断为多灶性视网膜脉络膜炎。患者玻璃体中也有细胞,部分病例有明显的视网膜血管炎、黄斑囊样水肿和视乳头水肿。患者年龄在62岁至77岁之间。13例患者有眼前节受累。1例患者双眼出现视网膜下新生血管。荧光素血管造影显示视网膜血管渗漏、视乳头水肿和黄斑水肿。到目前为止,作者尚未成功将所描述的病变归类为已知的疾病实体。这些发现与1984年Dreyer和Gass描述的“多灶性脉络膜炎和全葡萄膜炎”最为相似。1987年,Tiedemann在患有EB病毒抗体的患者中也观察到了类似的变化。

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