多灶性视网膜炎继发于链球菌感染后葡萄膜炎综合征的全葡萄膜炎的多模态影像学研究。
Multimodal Imaging of Panuveitis with Multifocal Retinitis Resulting from Post-Streptococcal Uveitis Syndrome.
机构信息
Department of Ophthalmology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Cincinnati Eye Institute, Cincinnati, Ohio, USA.
出版信息
Ocul Immunol Inflamm. 2023 Sep;31(7):1545-1547. doi: 10.1080/09273948.2022.2113803. Epub 2022 Sep 8.
BACKGROUND
Post-streptococcal uveitis syndrome is a rare inflammatory sequela following streptococcus infection most commonly occurring in young patients. Patients most typically present with bilateral anterior nongranulomatous uveitis, but posterior involvement occurs frequently.
CASE PRESENTATION
We report an immunosuppressed patient presenting with asymmetrically bilateral acute onset, panuveitis with diffuse multifocal retinitis resulting from post-streptococcal uveitis syndrome.
CONCLUSION
Post-streptococcal uveitis syndrome can present as a panuveitis with multifocal retinitis. A high clinical suspicion is needed for this diagnosis especially in patients under the age of 30 years old with bilateral non-granulomatous uveitis.
背景
链球菌感染后葡萄膜炎综合征是一种罕见的炎症后遗症，最常发生在年轻患者中。患者最典型的表现是双侧非肉芽肿性前葡萄膜炎，但常伴有后部受累。
病例介绍
我们报告了一例免疫抑制患者，表现为双侧急性、不对称性全葡萄膜炎，伴有弥漫性多灶性视网膜炎，病因是链球菌感染后葡萄膜炎综合征。
结论
链球菌感染后葡萄膜炎综合征可表现为全葡萄膜炎伴多灶性视网膜炎。对于这种诊断，特别是对于 30 岁以下双侧非肉芽肿性葡萄膜炎患者，需要高度的临床怀疑。
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