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确诊 SARS-CoV-2 感染后双侧弓形体脉络膜炎。

Bilateral Ampiginous Choroiditis following Confirmed SARS-CoV-2 Infection.

机构信息

Laboratory of Infectious Diseases in Ophthalmology, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

出版信息

Ocul Immunol Inflamm. 2023 May;31(4):843-846. doi: 10.1080/09273948.2022.2049317. Epub 2022 Apr 11.

Abstract

INTRODUCTION

Ampiginous Choroiditis is a rare posterior uveitis that combines clinical features of Acute Multifocal Posterior Placoid Pigment Epitheliopathy and Serpiginous Chorioretinitis. Its pathophysiology is poorly understood and further studies are necessary to understand which mechanisms start the immunologic reaction.

CASE REPORT

The purpose of this article is to report a well-documented case of Ampiginous Choroiditis following in seven days a RT-PCR confirmed SARS-CoV-2 infection, suggesting that the infection might have contributed as a trigger.

CONCLUSION

Timely diagnosis and correct treatment are paramount to improve the visual outcomes, and the patient had successful response to systemic steroids.

摘要

介绍

Ampiginous 脉络膜炎是一种罕见的后葡萄膜炎,其临床特征结合了急性多灶性后部 Placoid 色素上皮病变和匐行性脉络膜炎。其病理生理学尚不清楚,需要进一步研究以了解哪些机制引发免疫反应。

病例报告

本文的目的是报告一例经证实的 Ampiginous 脉络膜炎病例,该病例在七天后发生了 RT-PCR 确诊的 SARS-CoV-2 感染,提示感染可能作为触发因素。

结论

及时诊断和正确治疗对于改善视力结果至关重要,该患者对全身类固醇治疗有成功反应。

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