与使用甲基苯丙胺相关的角膜松解症——1例急性甲基苯丙胺中毒患者角膜溶解的偶然诊断
Keratolysis Associated with Methamphetamine Use - Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication.
作者信息
Heer Jagdipak S, Heavey Sean, Quesada Daniel, Aguìñiga-Navarrete Phillip, Garrett Madison B, Barkataki Kieron
机构信息
Kern Medical Center, Department of Emergency Medicine, Bakersfield, California.
LAC+ USC Medical Center, Department of Emergency Medicine, Los Angeles, California.
出版信息
Clin Pract Cases Emerg Med. 2020 Aug;4(3):472-473. doi: 10.5811/cpcem.2020.3.43981.
CASE PRESENTATION
A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis.
DISCUSSION
Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.
病例介绍
一名38岁男性因甲基苯丙胺所致激越状态被送至急诊科。体格检查发现左眼角膜混浊，呈胶冻样外观并伴有结膜炎，符合角膜溶解或角膜松解症。
讨论
角膜松解症是角膜基质的溶解，可导致角膜溃疡和视力丧失。尽管这种眼部损伤表现相对罕见，但已证实吸食兴奋剂与这种损伤模式有关。急性角膜松解症是通过吸烟方式制备和摄入甲基苯丙胺所引发的一种独特并发症，可导致角膜溃疡和视力丧失。
Zotero 插件