一名患有乳-碱综合征和胰腺炎患者的类普尔夏视网膜病变
PURTSCHER-LIKE RETINOPATHY IN A PATIENT WITH MILK-ALKALI SYNDROME AND PANCREATITIS.
作者信息
Alsberge Joseph B, Chen Judy J, McDonald H Richard
机构信息
Retina Service, Department of Ophthalmology, Northwest Permanente, Portland, Oregon; and.
West Coast Retina Medical Group/California Pacific Medical Center, San Francisco, California.
出版信息
Retin Cases Brief Rep. 2023 Mar 1;17(2):224-226. doi: 10.1097/ICB.0000000000001157.
PURPOSE
To report a case of Purtscher-like retinopathy in a patient with milk-alkali syndrome and pancreatitis.
METHODS
Case report and review of the literature.
RESULTS
A 46-year-old woman presented with decreased vision following discharge from the intensive care unit, where she had been admitted for milk-alkali syndrome secondary to long-term calcium supplementation and over-the-counter antacid use, and pancreatitis. Dilated examination showed ischemic retinal whitening and retinal hemorrhages in the posterior pole bilaterally consistent with Purtscher-like retinopathy. Over three months, the retinopathy resolved and her vision improved.
CONCLUSION
Milk-alkali syndrome is the clinical triad of hypercalcemia, renal failure, and metabolic alkalosis and occurs secondary to the consumption of large amounts of calcium and alkali. The hypercalcemia associated with milk-alkali syndrome may cause pancreatitis, which can lead to Purtscher-like retinopathy.
目的
报告一例患有乳-碱综合征和胰腺炎的患者出现类似普尔夏视网膜病变的病例。
方法
病例报告及文献复习。
结果
一名46岁女性在重症监护病房出院后出现视力下降，她因长期补充钙剂和使用非处方抗酸剂继发乳-碱综合征以及胰腺炎而入住该病房。散瞳检查显示双侧后极部视网膜缺血性变白和视网膜出血，符合类似普尔夏视网膜病变。在三个月的时间里，视网膜病变消退，视力改善。
结论
乳-碱综合征是高钙血症、肾衰竭和代谢性碱中毒的临床三联征，继发于大量钙和碱的摄入。与乳-碱综合征相关的高钙血症可能导致胰腺炎，进而引发类似普尔夏视网膜病变。
Zotero 插件