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一名青少年患者在发生心肌心包炎后出现急性视网膜中央静脉阻塞。

Acute central retinal vein occlusion following episode of myopericarditis in an adolescent patient.

作者信息

Desai Ankit, Saxena Sandeep, Akduman Levent

机构信息

Department of Ophthalmology, Saint Louis University, Saint Louis, Missouri, USA.

出版信息

BMJ Case Rep. 2013 Aug 1;2013:bcr2013200583. doi: 10.1136/bcr-2013-200583.

Abstract

A 15-year-old African-American boy presented with unilateral decrease in vision following an episode of myopericarditis. His ocular examination was significant for diffuse retinal oedema and intraretinal haemorrhages. He was diagnosed with a central retinal vein occlusion and was referred to rheumatology for further evaluation following negative hypercoaguable studies. He was later found to have systemic lupus erythematous. Approximately 8 months after presentation, the patient's vision improved and remained stable at 20/40.

摘要

一名15岁的非裔美国男孩在发生一次心肌心包炎后出现单眼视力下降。他的眼部检查发现显著的弥漫性视网膜水肿和视网膜内出血。他被诊断为视网膜中央静脉阻塞,在高凝检查结果为阴性后被转诊至风湿病科作进一步评估。后来发现他患有系统性红斑狼疮。就诊大约8个月后,患者的视力有所改善,并稳定在20/40。

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本文引用的文献

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Safety of intravenous immunoglobulin (IVIG) therapy.静脉注射免疫球蛋白(IVIG)治疗的安全性。
Autoimmun Rev. 2007 Mar;6(4):257-9. doi: 10.1016/j.autrev.2006.08.011. Epub 2006 Aug 28.
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Hypercoagulable states and central retinal vein occlusion.高凝状态与视网膜中央静脉阻塞
Curr Opin Pulm Med. 2003 Sep;9(5):385-92. doi: 10.1097/00063198-200309000-00008.
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Central retinal vein occlusion in young adults.年轻成年人的视网膜中央静脉阻塞
Surv Ophthalmol. 1993 May-Jun;37(6):393-417. doi: 10.1016/0039-6257(93)90138-w.
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Assessment of angiographic retinal capillary nonperfusion in central retinal vein occlusion.
Am J Ophthalmol. 1987 Jun 15;103(6):761-6. doi: 10.1016/s0002-9394(14)74390-9.
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Anti-RNP antibodies and their clinical significance.抗核糖核蛋白抗体及其临床意义。
Br J Rheumatol. 1990 Oct;29(5):322-4. doi: 10.1093/rheumatology/29.5.322.

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