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新兴传染性葡萄膜炎:基孔肯雅热、登革热、寨卡和埃博拉:综述。

Emerging infectious uveitis: Chikungunya, dengue, Zika and Ebola: A review.

机构信息

Eye & Vision Health, Flinders University College of Medicine and Public Health, Adelaide, Australia.

出版信息

Clin Exp Ophthalmol. 2019 Apr;47(3):372-380. doi: 10.1111/ceo.13450. Epub 2019 Jan 2.

Abstract

Recently recognized forms of uveitis include intraocular inflammations that occur during or following one of several emerging infectious diseases: chikungunya fever, dengue, Zika virus disease and Ebola virus disease. Anterior, intermediate, posterior and pan-uveitis have been described in individuals infected with chikungunya virus. Persons who contract dengue or Zika viruses also may develop different types of uveitis in the course of the infection: maculopathy is a common manifestation of dengue eye disease, and Zika eye disease may cause hypertensive anterior uveitis or mimic a white dot syndrome. Up to one-third of Ebola survivors develop aggressive uveitis, which is frequently associated with vision loss and complicated by cataract. There are no specific anti-viral drugs for these forms of uveitis, and thus treatment is largely supportive. In this article, we summarize the systemic infectious diseases and virology, and describe the clinical presentations, outcomes and management of emerging viral forms of uveitis.

摘要

最近被认识的葡萄膜炎形式包括在几种新发传染病期间或之后发生的眼内炎症

基孔肯雅热、登革热、寨卡病毒病和埃博拉病毒病。感染了基孔肯雅病毒的个体中已描述了前葡萄膜炎、中间葡萄膜炎、后葡萄膜炎和全葡萄膜炎。感染登革热或寨卡病毒的人也可能在感染过程中出现不同类型的葡萄膜炎:黄斑病变是登革热眼病的常见表现,寨卡眼病可能引起高血压性前葡萄膜炎或模拟白点综合征。多达三分之一的埃博拉幸存者会出现侵袭性葡萄膜炎,这常常与视力丧失有关,并使白内障复杂化。对于这些形式的葡萄膜炎没有特定的抗病毒药物,因此治疗主要是支持性的。在本文中,我们总结了全身传染病和病毒学,并描述了新发病毒性葡萄膜炎的临床表现、结局和管理。

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