Bialasiewicz A A, Schönherr U
Univ.-Augenklinik mit Poliklinik der Friedrich-Alexander-Universität Erlangen-Nürnberg.
Klin Monbl Augenheilkd. 1990 Jun;196(6):481-3. doi: 10.1055/s-2008-1046228.
A significant B. burgdorferi seroconversion with an IgM of 1:80 was observed in a patient complaining of loss of vision in his right eye. The finding correlated morphologically with hyperpigmentation and depigmentation in the macular region, similar to pigment epitheliitis or choriocapillaritis. In the course of the following four weeks the IgM decreased by four titer steps. The visual acuity of the patient's right eye recovered from 0.4 on admission to 1.0 on discharge. The angiogram did not reveal any pathology. Since choroidal manifestations have often been documented in patients with B. burgdorferi infections, it is recommended that serological workups be performed in such patients. Studies in larger groups of patients are necessary to establish the relevance of this case report and its significance concerning infection as a cause of choriocapillaritis.
在一名主诉右眼视力丧失的患者中，观察到显著的伯氏疏螺旋体血清转化，IgM为1:80。这一发现与黄斑区色素沉着和色素脱失在形态学上相关，类似于色素上皮炎或脉络膜毛细血管炎。在接下来的四周内，IgM滴度下降了四个梯度。患者右眼视力从入院时的0.4恢复到出院时的1.0。血管造影未显示任何病变。由于在伯氏疏螺旋体感染患者中经常记录到脉络膜表现，建议对这类患者进行血清学检查。有必要对更多患者进行研究，以确定本病例报告的相关性及其作为脉络膜毛细血管炎病因的感染意义。
