脉络膜受累于系统性坏死性血管炎。

Choroidal involvement in systemic necrotizing vasculitis.

作者信息

Kinyoun J L, Kalina R E, Klein M L

出版信息

Arch Ophthalmol. 1987 Jul;105(7):939-42. doi: 10.1001/archopht.1987.01060070075032.

DOI:10.1001/archopht.1987.01060070075032

Abstract

Wegener's granulomatosis and lymphomatosis are systemic necrotizing vasculitides of unknown cause. We report similar involvement of the choriocapillaris in these two diseases. A presumed choriocapillaritis caused ischemia and infarction of the choriocapillaris-retinal pigment epithelium-outer neurosensory retina complex. Systemic corticosteroid and immunosuppressive agents were successful in controlling systemic disease and preserving useful vision. At the time of this study, one patient had not had a recurrence for 12 years, and the other patient had been asymptomatic for seven years.

摘要

韦格纳肉芽肿病和淋巴瘤病是病因不明的系统性坏死性血管炎。我们报告了这两种疾病中脉络膜毛细血管存在相似的受累情况。推测的脉络膜毛细血管炎导致了脉络膜毛细血管 - 视网膜色素上皮 - 外层神经感觉视网膜复合体的缺血和梗死。全身用皮质类固醇和免疫抑制剂成功地控制了全身疾病并保留了有用视力。在本研究时，一名患者12年未复发，另一名患者7年无症状。