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[假性肿瘤性眼结核:2例报告]

[Pseudotumoral ocular tuberculosis: about 2 cases].

作者信息

Elboukhani Incaf, Siati Asmaa, Errachiq Issam, Mchachi Adil, Benhmidoune Leila, Rachid Rayad, Elbelhadji Mohamed

机构信息

Service d'Ophtalmologie Adulte, Hôpital 20 Août 1953, CHU Ibn rochd, Université Hassan II de Casablanca, Maroc.

出版信息

Pan Afr Med J. 2020 Jul 2;36:147. doi: 10.11604/pamj.2020.36.147.20571. eCollection 2020.

DOI:10.11604/pamj.2020.36.147.20571
PMID:32874411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7436635/
Abstract

Ocular manifestations of tuberculosis are non-specific and polymorphic as they can affect all the tunics of the eye and cause severe visual loss in the absence of early and appropriate treatment. We here report 2 casesof pseudotumoral ocular tuberculosis with favorable outcome under antibacillary treatment; the first patient recently had had spontaneous burst of the eyeball with exit of a burgeoning fleshy and suppurative mass measuring 10cm/6cm, the second patient had granuloma of the ciliary body mimicking melanoma; then we here discuss the clinical and therapeutic particularities of this disease.

摘要

结核病的眼部表现是非特异性且多样的,因为它们可累及眼球的所有膜层,若未得到早期适当治疗,会导致严重视力丧失。我们在此报告2例假瘤型眼结核病例,经抗细菌治疗后预后良好;首例患者近期眼球自发破裂,流出一个10厘米/6厘米大小的新生肉质化脓性肿物,第二例患者有模仿黑色素瘤的睫状体肉芽肿;然后我们在此讨论该疾病的临床和治疗特点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/2dcc6a4e3738/PAMJ-36-147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/e24899ed6d93/PAMJ-36-147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/037835fd6d95/PAMJ-36-147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/3c76d099184e/PAMJ-36-147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/a5c47e5bfff5/PAMJ-36-147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/c62428d02c5a/PAMJ-36-147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/afeaab107d8a/PAMJ-36-147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/2dcc6a4e3738/PAMJ-36-147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/e24899ed6d93/PAMJ-36-147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/037835fd6d95/PAMJ-36-147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/3c76d099184e/PAMJ-36-147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/a5c47e5bfff5/PAMJ-36-147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/c62428d02c5a/PAMJ-36-147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/afeaab107d8a/PAMJ-36-147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a546/7436635/2dcc6a4e3738/PAMJ-36-147-g007.jpg

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本文引用的文献

1
Role of echography in diagnostic dilemma in choroidal masses.超声检查在脉络膜肿物诊断困境中的作用
Indian J Ophthalmol. 2014 Feb;62(2):167-70. doi: 10.4103/0301-4738.128626.
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The utility of routine tuberculosis screening in county hospital patients with uveitis.县医院葡萄膜炎患者常规结核筛查的效用。
Br J Ophthalmol. 2014 Aug;98(8):1091-5. doi: 10.1136/bjophthalmol-2013-303937. Epub 2014 Jan 31.
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Virulence factors of the Mycobacterium tuberculosis complex.结核分枝杆菌复合体的毒力因子。
Virulence. 2013 Jan 1;4(1):3-66. doi: 10.4161/viru.22329. Epub 2012 Oct 17.
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Epidemiology of tuberculosis and HIV: recent advances in understanding and responses.结核病和艾滋病的流行病学:理解和应对方面的最新进展。
Proc Am Thorac Soc. 2011 Jun;8(3):288-93. doi: 10.1513/pats.201010-064WR.
5
Ocular tuberculosis masquerading as ocular tumors.伪装成眼部肿瘤的眼结核
Surv Ophthalmol. 2004 Jan-Feb;49(1):78-89. doi: 10.1016/j.survophthal.2003.10.009.
6
Ocular tuberculosis.眼结核
Surv Ophthalmol. 1993 Nov-Dec;38(3):229-56. doi: 10.1016/0039-6257(93)90076-j.
7
The role of the isoniazid therapeutic test in tuberculous uveitis.
Am J Ophthalmol. 1982 Oct;94(4):511-5. doi: 10.1016/0002-9394(82)90245-8.
8
Tuberculous choroiditis diagnosed by chorioretinal endobiopsy.经脉络膜视网膜眼内活检诊断的结核性脉络膜炎
Am J Ophthalmol. 1991 Oct 15;112(4):460-1. doi: 10.1016/s0002-9394(14)76260-9.