Browning D J, Blumenkranz M S, Culbertson W W, Clarkson J D, Tardif Y, Gourdeau A, Minturn J
Ophthalmology. 1987 Jun;94(6):602-6. doi: 10.1016/s0161-6420(87)33405-0.
The authors report seven patients in whom the acute retinal necrosis (ARN) syndrome developed shortly after cutaneous varicella zoster infection. The length of time between the skin infection and ARN varied from 5 days to 3 months. Both eyes were affected in one of seven cases. The ophthalmic branch of cranial nerve V ipsilateral to an affected eye was involved by the zoster dermatitis in only two of the seven cases. The association lends further support to the proposal that herpes zoster virus is a major cause of ARN. A history of recent zoster dermatitis should be sought in patients with ARN.
作者报告了7例患者,他们在皮肤感染水痘带状疱疹后不久就出现了急性视网膜坏死(ARN)综合征。皮肤感染与ARN之间的时间间隔从5天到3个月不等。7例中有1例双眼受累。7例中只有2例受累眼同侧的三叉神经眼支受到带状疱疹性皮炎的累及。这种关联进一步支持了带状疱疹病毒是ARN主要病因的观点。对于ARN患者,应询问近期是否有水痘带状疱疹性皮炎病史。