Loos D, Hadeler J, Feucht N, Spinner C D, Schwerdtfeger C, Schmid R M, Lanzl I
Klinikum rechts der Isar, Ismaninger Str. 22, 81675, München, Deutschland,
Ophthalmologe. 2014;111(7):660-3. doi: 10.1007/s00347-013-2934-7.
Acquired immunodeficiency syndrome (AIDS) caused by the human immunodeficiency virus (HIV), is one of the most important infectious causes of death in the twentieth and twenty-first centuries. Ocular manifestations can appear in particular when the CD4 cell count is low. This article presents a case report of a 38-year-old homosexual man in whom HIV microangiopathy retinopathy syndrome (MAPS) was found during the assessment of the initial HIV diagnosis. Typical findings in MAPS are conjunctival and retinal vessel abnormalities, cotton wool spots as well as intraretinal hemorrhages. Loss of vision is a rare complication but MAPS shows an impairment of the immune status and is also associated with a higher mortality.
由人类免疫缺陷病毒（HIV）引起的获得性免疫缺陷综合征（AIDS）是20世纪和21世纪最重要的感染性致死病因之一。眼部表现尤其会在CD4细胞计数较低时出现。本文报告了一例38岁同性恋男性病例，在其初次HIV诊断评估期间发现了HIV微血管病变视网膜病变综合征（MAPS）。MAPS的典型表现为结膜和视网膜血管异常、棉絮斑以及视网膜内出血。视力丧失是一种罕见的并发症，但MAPS显示免疫状态受损，且也与较高的死亡率相关。
