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莱姆病患者的急性渗出性多形性卵黄样黄斑病变

Acute exudative polymorphous vitelliform maculopathy in a patient with Lyme disease.

作者信息

Singh Ravi S J, Tran Lac H, Kim Judy E

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2013 Sep-Oct;44(5):493-6. doi: 10.3928/23258160-20130909-14.

DOI:10.3928/23258160-20130909-14
PMID:24044715
Abstract

Acute exudative polymorphous vitelli-form maculopathy (AEPVM) is a rare condition of unclear etiology that has been seen in association with respiratory and viral infections. It has also been reported as a paraneoplastic phenomenon in older individuals. The authors report the first case of AEPVM associated with Lyme disease with over 3.5 years of follow-up. Multimodality serial imaging suggested the lesions began as multiple serous detachments followed by accumulation of photoreceptor outer segments in the subretinal space that gradually resolved over time and gave rise to the characteristic fundus findings at various stages.

摘要

急性渗出性多形性卵黄样黄斑病变(AEPVM)是一种病因不明的罕见病症,曾被发现与呼吸道和病毒感染有关。在老年个体中,它也被报道为一种副肿瘤现象。作者报告了首例与莱姆病相关的AEPVM病例,并进行了超过3.5年的随访。多模态系列成像显示,病变最初表现为多个浆液性脱离,随后视网膜下间隙出现光感受器外节堆积,随着时间推移逐渐消退,并在各个阶段产生特征性的眼底表现。

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引用本文的文献

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Idiopathic acute exudative polymorphous vitelliform maculopathy: the importance of multimodal imaging, systemic workup and genetic testing.特发性急性渗出性多形性玻璃膜疣样病变:多模态成像、系统检查和基因检测的重要性。
BMJ Case Rep. 2023 Jun 28;16(6):e253969. doi: 10.1136/bcr-2022-253969.
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Acute bilateral serous retinal detachments with spontaneous resolution in a 6-year-old boy.一名6岁男孩发生急性双侧浆液性视网膜脱离并自行消退。
GMS Ophthalmol Cases. 2020 Aug 25;10:Doc37. doi: 10.3205/oc000164. eCollection 2020.
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[Serous retinopathy: an important adverse event in tumor treatment].
浆液性视网膜病变:肿瘤治疗中的一种重要不良事件
Ophthalmologe. 2017 Apr;114(4):378-380. doi: 10.1007/s00347-017-0460-8.
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Nonantibestrophin Anti-RPE Antibodies in Paraneoplastic Exudative Polymorphous Vitelliform Maculopathy.副肿瘤性渗出性多形性卵黄样黄斑病变中的非抗Bestrophin抗视网膜色素上皮抗体
Transl Vis Sci Technol. 2015 May 15;4(3):2. doi: 10.1167/tvst.4.3.2. eCollection 2015 May.