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巩膜炎最初表现为特发性弥漫性前巩膜炎。

scleritis initially presenting as idiopathic diffuse anterior scleritis.

作者信息

Agarwal Shweta, Majumder Parthopratim Dutta

机构信息

Department of Cornea, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Department of Uvea, Sankara Nethralaya, 18, College Road, Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2020 Feb 17;13(1):51-52. doi: 10.4103/ojo.OJO_256_2018. eCollection 2020 Jan-Apr.

DOI:10.4103/ojo.OJO_256_2018
PMID:32174745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7050448/
Abstract

remains the most common cause of bacterial scleritis. This report illustrates an unusual presentation of scleritis, which initially presented as diffuse anterior scleritis with anterior uveitis. The detailed laboratory work-up of the patient was negative, and the initiation of high-dose oral corticosteroid therapy led to further deterioration of clinical condition, with the appearance of a yellowish-white nodule within 3 days. The aspirate from the nodule grew , and the scleral inflammation resolved with anti-microbial therapy.

摘要

仍然是细菌性巩膜炎最常见的病因。本报告阐述了巩膜炎一种不寻常的表现形式,其最初表现为伴有前葡萄膜炎的弥漫性前巩膜炎。对该患者进行的详细实验室检查结果为阴性,开始使用高剂量口服皮质类固醇疗法导致临床状况进一步恶化,3天内出现一个黄白色结节。从结节中抽出物培养出(某种病菌),巩膜炎症通过抗菌治疗得以消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd9/7050448/71e4f174a6d8/OJO-13-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd9/7050448/71e4f174a6d8/OJO-13-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd9/7050448/71e4f174a6d8/OJO-13-51-g001.jpg

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Infectious Pseudomonas scleritis after strabismus surgery.斜视手术后感染性假单胞菌性巩膜炎
J AAPOS. 2013 Aug;17(4):423-5. doi: 10.1016/j.jaapos.2013.03.018. Epub 2013 Jul 17.
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Microbial scleritis-experience from a developing country.微生物性巩膜炎:来自发展中国家的经验。
Eye (Lond). 2009 Feb;23(2):255-61. doi: 10.1038/sj.eye.6703099. Epub 2008 Jan 25.