Spiegel P, Grossniklaus H E, Reinhart W J, Thomas R H
Department of Pathology, University Hospitals of Cleveland, Case Western Reserve University, Ohio.
Cornea. 1990 Jan;9(1):81-5.
A 76-year-old man with bilateral corneal infiltrates secondary to a monoclonal gammopathy of undetermined significance (MGUS) is described. The corneal changes simulated a remote lattice dystrophy. Although the clinical presentation of corneal opacities secondary to paraproteinemic conditions is somewhat variable, this patient's corneas lacked the common crystalline appearance of immunoglobulin deposits. This patient demonstrates an atypical clinical presentation of corneal infiltration secondary to a paraproteinemia.
本文描述了一名76岁男性，患有意义未明的单克隆丙种球蛋白病（MGUS）继发双侧角膜浸润。角膜改变类似陈旧性格子状营养不良。尽管副蛋白血症相关角膜混浊的临床表现有所不同，但该患者的角膜缺乏免疫球蛋白沉积常见的结晶外观。该患者表现出副蛋白血症继发角膜浸润的非典型临床表现。
