Chess J, Marcus D M
Albert Einstein College of Medicine, Bronx, New York.
Ann Ophthalmol. 1988 Nov;20(11):431-5, 438.
The acute retinal necrosis (ARN) syndrome has recently been associated with intraocular infections with one or more members of the herpesvirus family. There have been 14 cases in the literature linking ARN with a preceding or subsequent herpetic dermatitis. We report the development of bilateral ARN (BARN) after unilateral Herpes zoster ophthalmicus as the presenting sign of acquired immunodeficiency syndrome (AIDS) in a previously healthy man. The development of BARN after diffuse Herpes simplex dermatitis in AIDS patients is also discussed. These cases further illustrate the central role of the herpes-virus family in the etiology of ARN and alert the clinician to a new presenting sign for AIDS.
急性视网膜坏死（ARN）综合征最近被认为与眼内感染一种或多种疱疹病毒科病毒有关。文献中已有14例将ARN与先前或随后发生的疱疹性皮炎联系起来的病例。我们报告了一名既往健康男性在出现单侧带状疱疹性眼炎后发生双侧ARN（BARN），这是获得性免疫缺陷综合征（AIDS）的首发症状。同时也讨论了艾滋病患者在弥漫性单纯疱疹性皮炎后发生BARN的情况。这些病例进一步说明了疱疹病毒科在ARN病因学中的核心作用，并提醒临床医生注意AIDS的一种新的首发症状。
