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眼内炎患者房水分析中 EB 病毒的应用价值。

The Usefulness of Aqueous Fluid Analysis for Epstein-Barr Virus in Patients with Uveitis.

机构信息

Department of Ophthalmology, Erasmus University Medical Center, Rotterdam, the Netherlands.

Department of Viroscience, Erasmus University Medical Center, Rotterdam, the Netherlands.

出版信息

Ocul Immunol Inflamm. 2020;28(1):126-132. doi: 10.1080/09273948.2018.1543709. Epub 2018 Nov 13.

Abstract

: To determine characteristics of patients with laboratory findings indicative of intraocular Epstein-Barr-virus (EBV) infection and to establish the usefulness of the laboratory analysis in patients with uveitis.: Retrospective study of patients who underwent diagnostic aqueous fluid analysis. Diverse demographic data of patients were registered.: EBV-PCR tested positive in 3/201 (1%) and EBV-GWC in 22/245 (9%). The prevalence of immunosuppression was similar in EBV positive (by PCR/GWC) and EBV negative patients (7/25; 28% vs. 50/272;18%, = 0.29). Out of all 22 EBV-GWC positive patients, GWC was between 3 and 10 in 91%. In total, 14 patients had laboratory results indicating only EBV infection. Patients without an alternative explanation for uveitis (6/14; 43%) had a chronic recurrent course and good visual prognosis.: Low EBV-GWC values combined with multiple positive GWC and/or PCR for other infectious agents. Intraocular assessment for EBV in the initial examination of uveitis patients has limited value.

摘要

目的

确定实验室检查结果提示眼内 Epstein-Barr 病毒(EBV)感染特征,并评估实验室分析在葡萄膜炎患者中的应用价值。

方法

对接受诊断性房水分析的患者进行回顾性研究,记录患者的各种人口统计学数据。

结果

201 例患者中 EBV-PCR 阳性 3 例(1%),EBV-GWC 阳性 22 例(9%)。EBV 阳性(PCR/GWC)和 EBV 阴性患者的免疫抑制患病率相似(7/25;28%比 50/272;18%, = 0.29)。在所有 22 例 EBV-GWC 阳性患者中,91%的患者 GWC 值在 3 到 10 之间。共有 14 例患者的实验室结果仅提示 EBV 感染。对于无葡萄膜炎其他病因解释的患者(6/14;43%),疾病呈慢性复发性病程,视力预后良好。

结论

低 EBV-GWC 值结合多个阳性 GWC 和/或其他感染性病原体的 PCR 检测结果,提示 EBV 感染。在葡萄膜炎患者的初始检查中,眼内 EBV 评估的价值有限。

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