双侧角膜浸润和葡萄膜炎患儿疑似眼结节病。
Bilateral corneal infiltrates and uveitis in a pediatric patient with presumed ocular sarcoidosis.
出版信息
Ocul Immunol Inflamm. 2013;21(1):8-10. doi: 10.3109/09273948.2012.719259.
PURPOSE
To report a pediatric case with presumed ocular sarcoidosis presented with bilateral corneal infiltrates and uveitis.
DESIGN
Single case report.
METHODS
A 9-year-old girl presented with a 1-month history of blurred vision and redness in both eyes. Ophthalmologic evaluation revealed midstromal infiltrates in cornea, granulomatous anterior uveitis, vitritis, snowball opacities, and localized perivenous exudates.
RESULTS
She was treated with topical and oral steroids. During steroid tapering, oral cyclosporine A therapy was added.
CONCLUSION
In patients with corneal infiltrates and uveitis, sarcoidosis should be considered in the differential diagnosis.
目的
报告一例疑似眼结节病的儿科病例，表现为双侧角膜浸润和葡萄膜炎。
设计
单病例报告。
方法
一名 9 岁女孩因双眼视力模糊和发红 1 个月就诊。眼科检查显示角膜基质浸润、肉芽肿性前葡萄膜炎、玻璃体炎、雪球混浊和局部静脉周围渗出。
结果
给予局部和口服类固醇治疗。在类固醇逐渐减量期间，加用环孢素 A 口服治疗。
结论
对于有角膜浸润和葡萄膜炎的患者，应考虑结节病作为鉴别诊断。
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