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登革热致酷似 Purtscher 样视网膜病变。

Dengue Fever Presenting as Purtscher-like Retinopathy.

机构信息

a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.

b Department of Ophthalmology , University of São Paulo (USP) , São Paulo , Brazil.

出版信息

Ocul Immunol Inflamm. 2018;26(5):660-665. doi: 10.1080/09273948.2017.1285036. Epub 2017 Mar 21.

Abstract

PURPOSE

To report the fundus manifestations and spectral-domain optical coherence tomographic (SD-OCT) features of dengue fever presenting as Purtscher-like retinopathy.

METHODS

Retrospective review of two cases of dengue fever.

RESULTS

Color fundus photograph revealed the presence of cotton-wool spots in a Purtscher-like configuration in the posterior pole of all study eyes. SD-OCT demonstrated increased reflectivity signal in the inner retinal layers, and after a variable follow-up period, there was complete disappearance of cotton-wool spots and persistence of the hyperreflectivity signal.

CONCLUSION

We report two unique cases of dengue fever associated with retinal lesions in a configuration of Purtscher-like retinopathy.

摘要

目的

报告以 Purtscher 样视网膜病变为表现的登革热的眼底表现和谱域光相干断层扫描(SD-OCT)特征。

方法

回顾性分析 2 例登革热病例。

结果

彩色眼底照片显示所有研究眼后极部均存在 Purtscher 样棉絮斑。SD-OCT 显示内层视网膜反射信号增强,经过不同的随访时间后,棉絮斑完全消失,而高反射信号持续存在。

结论

我们报告了两例独特的登革热病例,其视网膜病变呈 Purtscher 样视网膜病变的形态。

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