巨细胞动脉炎中的中旁中心急性黄斑病变。
PARACENTRAL ACUTE MIDDLE MACULOPATHY IN GIANT CELL ARTERITIS.
机构信息
Ophthalmology Department, "Santa Maria degli Angeli" Hospital, Pordenone (PN), Italy.
Ophthalmology Department, La Timone University Hospital Marseille, France.
出版信息
Retin Cases Brief Rep. 2024 May 1;18(3):285-289. doi: 10.1097/ICB.0000000000001381.
PURPOSE
To describe a representative case and review the literature on paracentral acute middle maculopathy (PAMM) and giant cell arteritis (GCA).
METHODS
A review of the English-language ophthalmic literature was performed using the search terms of PAMM, giant cell arteritis, and temporal arteritis.
RESULTS
A 72-year-old woman with PAMM as the presenting ophthalmic manifestation of GCA was described with a review of the prior cases from the literature. It was found that there were 26 cases of PAMM in GCA. In 19 of 26 cases, PAMM was associated with no other fundus abnormalities and was only seen on multimodal imaging including optical coherence tomography.
CONCLUSION
PAMM can cause acute paracentral visual loss, and GCA should be suspected in all cases of PAMM of the elderly patients, even when isolated and not associated with constitutional symptoms of GCA.
目的
描述一个代表性病例，并复习关于旁中心急性中黄斑病变（PAMM）和巨细胞动脉炎（GCA）的文献。
方法
使用 PAMM、巨细胞动脉炎和颞动脉炎等术语对英文眼科文献进行了回顾。
结果
描述了一名 72 岁女性患者，其 PAMM 是 GCA 的首发眼部表现，并复习了文献中的先前病例。结果发现，26 例 GCA 中有 26 例 PAMM。在 26 例中的 19 例中，PAMM 无其他眼底异常，仅在包括光相干断层扫描在内的多模态成像上可见。
结论
PAMM 可引起急性旁中心视力丧失，对于老年患者的所有 PAMM 病例，即使孤立且不伴有 GCA 的全身症状，也应怀疑 GCA。
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