特发性视网膜血管炎、动脉瘤和神经视网膜炎中动脉动脉瘤的消退：一例报告并文献复习
Resolution of arterial aneurysms in idiopathic retinal vasculitis, aneurysms and neuroretinitis: a case report and review of literature.
作者信息
Kumawat Devesh, Kumar Vinod
机构信息
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.
出版信息
Int Ophthalmol. 2019 May;39(5):1155-1161. doi: 10.1007/s10792-018-0913-3. Epub 2018 Mar 28.
PURPOSE
To report a case of resolution of retinal arterial aneurysms in a patient of idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) treated with oral steroids.
METHODS
This study contains case report and review of literature.
RESULTS
A 16-year-old girl with stage 2 IRVAN was treated with oral steroids alone. Fluorescein angiography confirmed the presence of aneurysms and absence of neovascularization in both eyes. The aneurysms resolved gradually over 4-month follow-up.
CONCLUSIONS
This case demonstrates previously unreported reversibility of arterial aneurysms with steroid therapy alone in early stages of IRVAN.
目的
报告一例口服类固醇治疗特发性视网膜血管炎、动脉瘤和神经视网膜炎（IRVAN）患者视网膜动脉动脉瘤消退的病例。
方法
本研究包含病例报告及文献回顾。
结果
一名16岁2期IRVAN女孩仅接受口服类固醇治疗。荧光素血管造影证实双眼存在动脉瘤且无新生血管形成。在4个月的随访中，动脉瘤逐渐消退。
结论
本病例显示了在IRVAN早期单独使用类固醇治疗动脉动脉瘤具有此前未报道过的可逆性。
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