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一名患有维生素B缺乏症和非癫痫性发作的成年人出现类罗氏斑。

Roth-like Spot in an Adult With Vitamin B Deficiency and Nonepileptic Seizures.

作者信息

Driscoll Diana, Callanan David

机构信息

POTS Care, Colleyville, TX, USA.

Texas Retina Associates, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

J Vitreoretin Dis. 2021 Aug 13;6(5):412-413. doi: 10.1177/24741264211028788. eCollection 2022 Sep-Oct.

Abstract

PURPOSE

This work reports retinal findings in an adult patient with vitamin B deficiency.

METHODS

A case review of a single patient is presented.

RESULTS

A patient with a Roth-type retinal lesion and a history of nonepileptic seizures was found to have lymphocytic colitis. She was treated with pyridoxine, which resolved her seizures and the white-centered hemorrhage.

CONCLUSIONS

Vitamin B deficiency should be considered in the differential diagnosis of patients presenting with white-centered hemorrhages and a history of nonepileptic seizures.

摘要

目的

本研究报告了一名维生素B缺乏成年患者的视网膜检查结果。

方法

呈现了对一名患者的病例回顾。

结果

一名患有罗斯型视网膜病变且有非癫痫性发作病史的患者被发现患有淋巴细胞性结肠炎。她接受了吡哆醇治疗,这解决了她的癫痫发作和白色中心出血问题。

结论

在鉴别诊断出现白色中心出血且有非癫痫性发作病史的患者时,应考虑维生素B缺乏。

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本文引用的文献

1
Roth spots in pyridoxine dependent epilepsy.吡哆醇依赖性癫痫中的 Roth 斑。
BMJ Case Rep. 2011 Aug 17;2011:bcr0520114209. doi: 10.1136/bcr.05.2011.4209.
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Roth spots.
Arch Ophthalmol. 2002 Nov;120(11):1596. doi: 10.1001/archopht.120.11.1596.
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White-centred retinal haemorrhages (Roth spots).白色中心性视网膜出血( Roth斑)
Postgrad Med J. 1998 Oct;74(876):581-2. doi: 10.1136/pgmj.74.876.581.

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