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韩国血清阳性视神经炎的临床特征。

Clinical Features of -Seropositive Optic Neuritis in Korea.

机构信息

a Department of Ophthalmology, School of Medicine, Pusan National University , Yangsan , South Korea.

b Biomedical Research Institute, Pusan National University Hospital , Busan , South Korea.

出版信息

Ocul Immunol Inflamm. 2019;27(5):829-835. doi: 10.1080/09273948.2018.1449866. Epub 2018 Apr 13.

Abstract

: This study was undertaken to analyze the characteristics of optic neuritis in Korean patients seropositive for . : We retrospectively reviewed data from patients diagnosed with optic neuritis and followed up for at least one month between 2012 and 2016. Patients were grouped according to serological testing outcomes (positive or negative) and clinical characteristics were compared. : The seropositive and seronegative groups comprised 13 and 12 patients, respectively. The seropositive patients were older (56.8 years versus 34.5 years), reported ocular pain less frequently (30.8% versus 91.7%), and showed more frequent asymmetric optic disc swelling (72.7% versus 22.2%). During follow-up, visual acuity of all seronegative patients improved to 20/40 or better, compared with 38.5% of the seropositive group. : Atypical features such as painless, older age, or asymmetric disc swelling in optic neuritis may be related to seropositivity for , suggesting the possibility of undiagnosed optic neuropathy.

摘要

本研究旨在分析. 血清阳性的韩国视神经炎患者的特征。我们回顾性分析了 2012 年至 2016 年间诊断为视神经炎并至少随访一个月的患者的数据。根据. 血清学检测结果(阳性或阴性)将患者分组,并比较临床特征。血清阳性组和血清阴性组分别包括 13 例和 12 例患者。血清阳性患者年龄较大(56.8 岁 vs 34.5 岁),眼部疼痛较少见(30.8% vs 91.7%),且更常出现不对称性视盘肿胀(72.7% vs 22.2%)。在随访期间,所有血清阴性患者的视力均提高至 20/40 或更好,而血清阳性组中只有 38.5%的患者视力提高。视神经炎中出现无疼痛、年龄较大或不对称视盘肿胀等不典型特征可能与. 血清阳性有关,提示存在未诊断的. 视神经病变的可能性。

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