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双侧后部巩膜炎伴巨细胞动脉炎:病例报告。

Bilateral Posterior Scleritis Associated with Giant Cell Arteritis: A Case Report.

机构信息

a Ophthalmology, İstanbul Kanuni Sultan Suleyman Research and Training Hospital , Istanbul , Turkey.

出版信息

Ocul Immunol Inflamm. 2018;26(8):1244-1247. doi: 10.1080/09273948.2017.1343854. Epub 2017 Sep 15.

Abstract

AIM

To report a case of bilateral posterior scleritis associated with giant cell arteritis Case Report: A 62-year-old female patient presented with bilateral progressive vision loss was diagnosed with bilateral posterior scleritis. According to clinical signs and symptoms and laboratory testing, Giant cell arteritis was also diagnosed. Within 8 weeks of the corticosteroid treatment, the serous retinal detachments completely resolved and choroidal thickness decreased in both eyes. Visual acuity increased, and the symtoms related to Giant cell arteritis improved.

CONCLUSION

Posterior scleritis is an inflammatory disease that may be associated with many autoimmune systemic diseases. GCA should be thought of particularly in patients over the age of 50 with bilateral involvement, and a relevant detailed history should be obtained for early and correct diagnosis and treatment.

摘要

目的

报告一例巨细胞动脉炎相关的双侧后部巩膜炎病例报告:一位 62 岁女性患者因双侧进行性视力丧失就诊,被诊断为双侧后部巩膜炎。根据临床症状和实验室检查,还诊断出巨细胞动脉炎。在皮质类固醇治疗的 8 周内,双眼的浆液性视网膜脱离完全消退,脉络膜厚度减少。视力提高,与巨细胞动脉炎相关的症状改善。

结论

后部巩膜炎是一种炎症性疾病,可能与许多自身免疫性系统性疾病有关。对于 50 岁以上双侧受累的患者,应特别考虑 GCA,并获得相关详细病史,以便早期正确诊断和治疗。

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