压力之下：口服皮质类固醇治疗的眼部并发症
Under pressure: an ocular complication of oral corticosteroid therapy.
作者信息
Fitzgerald Lucy Anne, Dudley Jan, Inward Carol, Tizard Jane
机构信息
Department of Paediatric Nephrology, Bristol Royal Hospital for Children, Bristol, UK.
出版信息
BMJ Case Rep. 2012 Sep 11;2012:bcr2012006955. doi: 10.1136/bcr-2012-006955.
Abstract
We describe the case of a patient with steroid sensitive nephrotic syndrome who is admitted with headaches, eye pain and reduced visual acuity. Despite thorough investigation no cause for the pain is identified. On a subsequent admission for recurrence of her symptoms her intraocular pressures are measured, which are markedly raised. Immediate medical treatment, as well as prompt weaning of her steroid therapy avoided the need for trabeculectomy surgery. We review this case and the literature surrounding this condition in children.
摘要
我们描述了一名患有类固醇敏感性肾病综合征的患者的病例，该患者因头痛、眼痛和视力下降入院。尽管进行了全面检查，但未发现疼痛的原因。在随后因症状复发入院时，测量了她的眼压，眼压明显升高。立即进行药物治疗以及迅速减少她的类固醇治疗避免了小梁切除术的需要。我们回顾了这个病例以及围绕儿童这种疾病的文献。
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