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急性狼疮脉络膜病变:多模态影像学表现及与中心性浆液性脉络膜视网膜病变的鉴别诊断

Acute lupus choroidopathy: multimodal imaging and differential diagnosis from central serous chorioretinopathy.

作者信息

Hasanreisoglu Murat, Gulpinar Ikiz Gokcen D, Kucuk Hamit, Varan Ozkan, Ozdek Sengul

机构信息

Department of Ophthalmology, School of Medicine, Gazi University, Ankara, Turkey.

Department of Rheumatology, School of Medicine, Gazi University, Ankara, Turkey.

出版信息

Int Ophthalmol. 2018 Feb;38(1):369-374. doi: 10.1007/s10792-016-0433-y. Epub 2017 Jan 3.

Abstract

IMPORTANCE

Systemic lupus erythematosus (SLE) is a thoroughly examined multi-organ disease whose common ocular complications are also well documented. However, SLE choroidopathy, being a rare ocular complication, is needed to be better understood, in order to make the differential diagnosis from clinical conditions such as central serous chorioretinopathy and provide adequate prompt treatment.

OBJECTIVE

To provide a clear understanding for the clinical course of SLE choroidopathy by the help of enhanced depth imaging optical coherence tomography, fluorescein angiography, and indocyanine angiography.

DESIGN

The study is designed as a case presentation, consisting of the physical examination results and the data gathered by the relevant screening methods for each visit, applied by the same ophthalmologists and technicians.

SETTING

The visits were organized as same day examinations as needed, in a university hospital which works as a referral center.

摘要

重要性

系统性红斑狼疮(SLE)是一种经过充分研究的多器官疾病,其常见的眼部并发症也有充分记录。然而,SLE脉络膜病变作为一种罕见的眼部并发症,需要更好地了解,以便与诸如中心性浆液性脉络膜视网膜病变等临床病症进行鉴别诊断,并提供充分及时的治疗。

目的

借助增强深度成像光学相干断层扫描、荧光素血管造影和吲哚菁绿血管造影,清晰了解SLE脉络膜病变的临床病程。

设计

本研究设计为病例报告,包括体格检查结果以及每次就诊时由同一位眼科医生和技术人员应用相关筛查方法收集的数据。

地点

在一家作为转诊中心的大学医院,根据需要安排当日检查。

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