Department of Ophthalmology, University of Padova , Padova , Italy.
Ocular Inflammation and Immunology Service, S. Antonio Hospital , Padova , Italy.
Ocul Immunol Inflamm. 2019;27(7):1117-1120. doi: 10.1080/09273948.2018.1518461. Epub 2018 Sep 7.
: To emphasize the different manifestations of ocular involvement in Whipple disease with challenge in establishing the diagnosis as clinical, laboratory, and histological features could mimic other uveitis entities. : Case reports of three patients. : The first patient was an African male suffering from a chronic bilateral keratoconjunctitivitis that was initially misdiagnosed as a chronic allergic conjunctivitis. The second patient was an Italian female who presented with bilateral vitritis, whereas the third patient was an Italian male suffering from a chronic bilateral panuveitis. The diagnosis of ocular Whipple in the first and third case was made by a positive PCR from the ocular specimen, and the second patient had detection of from extraocular sites. : Whipple disease can have protean manifestations in the eye including an isolated ocular surface involvement manifested as keratitis.
为了强调 Whipple 病眼部受累的不同表现,其诊断具有挑战性,因为临床、实验室和组织学特征可能类似于其他葡萄膜炎实体。
病例报告三例。
第一例患者为慢性双侧角膜炎的非洲男性,最初误诊为慢性过敏性结膜炎。第二例患者为意大利女性,表现为双侧葡萄膜炎,而第三例患者为意大利男性,患有慢性双侧全葡萄膜炎。第一例和第三例患者的眼部 Whipple 病诊断通过眼部标本的阳性 PCR 做出,第二例患者通过眼外部位检测到。
Whipple 病在眼部可有多种表现,包括表现为角膜炎的孤立性眼表面受累。