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[脉络膜视网膜病变作为急性淋巴细胞白血病的首发症状]

[Chorioretinopathy as the first symptom of acute lymphoblastic leukaemia].

作者信息

Grønbech Keea Treu, Rewes Annika, Grauslund Jakob

机构信息

Øjenafdeling E, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C.

出版信息

Ugeskr Laeger. 2014 Jan 13;176(3A):V07130455.

Abstract

Central serous chorioretinopathy (CSCR) is an ophthalmic disease characterized by a serous detachment of the macula. It is most often idiopathic and self-limiting. A 61-year-old patient presented with bilateral blurred vision and double vision. Ophthalmological examination showed bilateral CSCR, and a haematological examination led to the diagnosis of an underlying acute lymphoblastic leukaemia. Bilateral visual loss with fast onset should lead to subacute ophthalmological examination. Underlying heamatological disease must be considered in patients with atypical CSCR.

摘要

中心性浆液性脉络膜视网膜病变(CSCR)是一种以黄斑区浆液性脱离为特征的眼科疾病。它最常见为特发性且具有自限性。一名61岁患者出现双侧视力模糊和复视。眼科检查显示双侧CSCR,血液学检查确诊为潜在的急性淋巴细胞白血病。急性起病的双侧视力丧失应进行亚急性眼科检查。非典型CSCR患者必须考虑潜在的血液系统疾病。

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