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一名5岁叙利亚女性出生时即患有小口病:一例罕见病例报告。

A 5-year-old Syrian female was born with Oguchi disease: a rare case report.

作者信息

Habeeb Rasha, Baba Marwa, Bazkke Bashar, Zazo Aya, Marashi Ameen

机构信息

Eye Surgical Hospital, Ibn An Nafees, Damascus.

Aleppo Eye Surgical Hospital.

出版信息

Ann Med Surg (Lond). 2023 Mar 27;85(4):918-921. doi: 10.1097/MS9.0000000000000100. eCollection 2023 Apr.

Abstract

UNLABELLED

Oguchi disease is a rare autosomal recessive disease that causes congenital stationary blindness, which is distinguished by the Mizuo-Nakamura phenomenon and caused by mutations of rhodopsin kinase gene or the arrestin gene.

CASE PRESENTATION

A 5-year-old Syrian female complains of stationary night blindness, investigated by fundus photo and optical coherence photograph and diagnosed as Oguchi disease.

DISCUSSION

Oguchi disease is an autosomal recessive retinal disorder causing stationary nyctalopia. It is characterized by Mizuo-Nakamura phenomenon, which is the alteration of fundus reflex color from golden-yellow to normal with dark adaptation. Literature reports suggest that mutations in rhodopsin kinase or arrestin genes may cause Oguchi's disease.

CONCLUSIONS

Optical coherence tomography is of great importance in Oguchi's disease. Optical coherence tomography usually shows an absence of the inner and outer segments line in the extrafoveal area during a partly dark-adaptation phase.

摘要

未标注

小口病是一种罕见的常染色体隐性疾病,可导致先天性静止性失明,其特征为水尾 - 中村现象,由视紫红质激酶基因或抑制蛋白基因的突变引起。

病例报告

一名5岁叙利亚女性主诉静止性夜盲,经眼底照相和光学相干断层扫描检查,被诊断为小口病。

讨论

小口病是一种常染色体隐性视网膜疾病,可导致静止性夜盲。其特征为水尾 - 中村现象,即随着暗适应,眼底反射颜色从金黄色变为正常。文献报道表明,视紫红质激酶或抑制蛋白基因的突变可能导致小口病。

结论

光学相干断层扫描在小口病中具有重要意义。在部分暗适应阶段,光学相干断层扫描通常显示黄斑外区域内、外节线缺失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4a2/10129271/4e518c8bf4cd/ms9-85-0918-g001.jpg

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