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仅用局部阿昔洛韦治疗的疑似单纯疱疹病毒性溃疡性结节性巩膜炎。

Presumed herpes simplex virus ulcerative nodular episcleritis treated by topical acyclovir alone.

作者信息

Hoshing Abhishek, Seth Atul, Subramaniam Abhay

机构信息

Department of Ophthalmology, Apollo Hospitals, Navi Mumbai, Maharashtra, India.

Eyemax Superspeciality Eye Center, Navi Mumbai, Maharashtra, India.

出版信息

Oman J Ophthalmol. 2022 Nov 2;15(3):360-362. doi: 10.4103/ojo.ojo_138_21. eCollection 2022 Sep-Dec.

DOI:10.4103/ojo.ojo_138_21
PMID:36760928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9905923/
Abstract

A 7-year-old female child was referred to the cornea clinic with a painless, ulcerated, and inflamed nodule near the limbus which did not respond to 1-week antibiotic therapy and worsened on starting topical steroids. Clinical examination showed ulcerative nodular episcleritis and raised a suspicion of herpes simplex virus etiology. The patient responded well and resolved completely on topical antiviral therapy alone.

摘要

一名7岁女童因角膜缘附近出现无痛性、溃疡且发炎的结节被转诊至角膜诊所。该结节在接受为期1周的抗生素治疗后无改善,且在开始局部使用类固醇药物后病情恶化。临床检查显示为溃疡性结节性巩膜炎,并怀疑病因是单纯疱疹病毒。仅通过局部抗病毒治疗,患者病情就得到了良好改善并完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/ca6d84dc83e5/OJO-15-360-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/95a3e5c27c17/OJO-15-360-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/fae9978e1326/OJO-15-360-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/ca6d84dc83e5/OJO-15-360-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/95a3e5c27c17/OJO-15-360-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/fae9978e1326/OJO-15-360-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/9905923/ca6d84dc83e5/OJO-15-360-g003.jpg

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本文引用的文献

1
Recurrent presumed herpes simplex keratitis and episcleritis in keratosis follicularis (Darier's disease).毛囊角化病(达里埃病)中的复发性疑似单纯疱疹性角膜炎和巩膜炎。
BMJ Case Rep. 2015 Jul 16;2015:bcr2015210772. doi: 10.1136/bcr-2015-210772.
2
Herpes simplex ocular inflammatory disease.单纯疱疹性眼部炎性疾病
Int Ophthalmol Clin. 2006 Spring;46(2):27-37. doi: 10.1097/00004397-200604620-00005.
3
Double-masked trial of topical acyclovir and steroids in the treatment of herpes zoster ocular inflammation.局部用阿昔洛韦和类固醇治疗带状疱疹性眼部炎症的双盲试验。
Br J Ophthalmol. 1991 Sep;75(9):542-6. doi: 10.1136/bjo.75.9.542.
4
Clinical profile of herpes zoster ophthalmicus.
J Indian Med Assoc. 1991 May;89(5):117-9.