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[儿童孤立性白血病性虹膜炎]

[Isolated leukemic iritis in childhood].

作者信息

Hatvani I, Balázs E

机构信息

z.Zt. Univ.-Augenklinik für ärztliche Fortbildung Debrecen.

出版信息

Klin Monbl Augenheilkd. 1988 Jun;192(6):703-5. doi: 10.1055/s-2008-1050208.

Abstract

Case report on a child with acute lymphogenous leukemia. Although there was constant hematological remission she developed an isolated leukemic iritis and secondary glaucoma. The clinical picture showed a characteristic stratification of the hyphema. After the patient had remained seated for a prolonged period of time the leukemic cells settled above the erythrocytes, forming a so-called pseudohypopyon, which diagnostically important. Cytologic examination after anterior chamber paracentesis is indispensable in order to establish the etiology of the disease. Isolated leukemic iritis may be the first sign of a relapse and therefore indicate a need to reinstitute induction therapy.

摘要

一名急性淋巴细胞白血病患儿的病例报告。尽管血液学持续缓解,但她仍出现了孤立性白血病性虹膜炎和继发性青光眼。临床表现显示前房积血有特征性分层。患者长时间坐位后,白血病细胞沉积在红细胞上方,形成所谓的假前房积脓,这在诊断上很重要。前房穿刺术后的细胞学检查对于明确疾病病因必不可少。孤立性白血病性虹膜炎可能是复发的首个迹象,因此提示需要重新进行诱导治疗。

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