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[眼眶的特异性炎症]

[Specific inflammations of the orbit].

作者信息

Klingenstein A, Hintschich C

机构信息

Augenklinik, Klinikum der Universität München, Campus Innenstadt, Ludwig-Maximilians-Universität, Mathildenstr. 8, 80336, München, Deutschland.

出版信息

Ophthalmologe. 2021 Aug;118(8):794-800. doi: 10.1007/s00347-021-01348-x. Epub 2021 Mar 25.

DOI:10.1007/s00347-021-01348-x
PMID:33765166
Abstract

BACKGROUND

The clinical picture of specific orbital inflammation can be subdivided into infectious diseases and idiopathic as well as autoimmune diseases.

OBJECTIVE

This synopsis should help the reader to become acquainted with rare, yet important differential diagnoses of specific orbital inflammations.

MATERIAL AND METHODS

A variety of cases of specific orbital inflammation from our interdisciplinary orbital consultation are presented that illustrate examples supported by the medical literature, expert opinions as well as the authors' personal experiences.

RESULTS

Orbital symptoms can occur due to infectious pathogens, rheumatic systemic autoimmune diseases or be idiopathic. They mostly manifest by swelling of the lids or lacrimal glands but involvement of deep orbital structures is also possible.

CONCLUSION

It is of importance to know the possible clinical ocular manifestations of infectious and rheumatic immunological systemic diseases in order to be able to treat patients adequately and whenever necessary by a multidisciplinary approach.

摘要

背景

特定眼眶炎症的临床表现可细分为感染性疾病、特发性疾病以及自身免疫性疾病。

目的

本综述旨在帮助读者熟悉特定眼眶炎症罕见但重要的鉴别诊断。

材料与方法

展示了我们多学科眼眶会诊中的各种特定眼眶炎症病例,这些病例通过医学文献、专家意见以及作者个人经验进行举例说明。

结果

眼眶症状可能由感染性病原体、风湿性全身性自身免疫性疾病引起,也可能是特发性的。它们大多表现为眼睑或泪腺肿胀,但深部眼眶结构也可能受累。

结论

了解感染性和风湿性免疫性全身性疾病可能的临床眼部表现非常重要,以便能够充分治疗患者,并在必要时采用多学科方法进行治疗。

相似文献

1
[Specific inflammations of the orbit].[眼眶的特异性炎症]
Ophthalmologe. 2021 Aug;118(8):794-800. doi: 10.1007/s00347-021-01348-x. Epub 2021 Mar 25.
2
[IgG4-related disease].[IgG4相关性疾病]
Ophthalmologe. 2021 Aug;118(8):787-793. doi: 10.1007/s00347-021-01448-8. Epub 2021 Jul 1.
3
[Orbital inflammation].[眼眶炎症]
J Fr Ophtalmol. 2014 Dec;37(10):818-24. doi: 10.1016/j.jfo.2014.09.002. Epub 2014 Nov 13.
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[Rationale for a diagnostic approach in non-Graves' orbital inflammation--Report of 61 patients].[非格雷夫斯眼眶炎症诊断方法的基本原理——61例患者报告]
J Fr Ophtalmol. 2015 Dec;38(10):912-23. doi: 10.1016/j.jfo.2015.04.017. Epub 2015 Nov 18.
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[Ultrasound spatial clinical analysis of the orbital part of the lacrimal gland in health].[健康人群泪腺眶部的超声空间临床分析]
Vestn Oftalmol. 2006 Nov-Dec;122(6):14-6.
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Intramuscular ectopic lacrimal gland cyst masquerading as myocysticercosis.伪装成囊尾蚴病的肌内异位泪腺囊肿
Ophthalmic Plast Reconstr Surg. 2015 Mar-Apr;31(2):e45-7. doi: 10.1097/IOP.0000000000000065.
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Bilateral idiopathic dacryoadenitis associated with bony erosions mimicking lacrimal gland malignancy.双侧特发性泪腺炎伴骨质侵蚀,酷似泪腺恶性肿瘤。
Can J Ophthalmol. 2018 Jun;53(3):e84-e87. doi: 10.1016/j.jcjo.2017.08.021. Epub 2017 Nov 24.
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Idiopathic granulomatous orbital inflammation.特发性肉芽肿性眼眶炎症
Ophthalmology. 1996 Dec;103(12):2135-41. doi: 10.1016/s0161-6420(96)30378-3.
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Cluster headache presenting with orbital inflammation.伴有眼眶炎症的丛集性头痛。
Ophthalmic Surg Lasers. 1996 Feb;27(2):143-6.
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Osteolytic Sarcoidosis of the Orbital Roof Masquerading as a Malignant Orbital Lesion.伪装成恶性眼眶病变的眶顶溶骨性结节病
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3S Suppl 1):S94-S96. doi: 10.1097/IOP.0000000000000536.

引用本文的文献

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Idiopathic orbital inflammatory disease - a diagnostic dilemma.特发性眼眶炎性疾病——一种诊断难题。
Rom J Ophthalmol. 2024 Oct-Dec;68(4):462-465. doi: 10.22336/rjo.2024.83.
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Treatment Outcomes of Patients with Orbital Inflammatory Diseases: Should Steroids Still Be the First Choice?眼眶炎性疾病患者的治疗结果:类固醇仍应作为首选吗?
J Clin Med. 2024 Jul 9;13(14):3998. doi: 10.3390/jcm13143998.

本文引用的文献

1
The spectrum of benign to malignant lymphoproliferation in Sjögren's syndrome.干燥综合征中从良性到恶性淋巴细胞增殖的谱系。
Clin Exp Immunol. 1972 Feb;10(2):199-221.