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麻风眼部灾难性并发症:病例报告。

Catastrophic ocular complications in leprosy: a case report.

机构信息

Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

Pan Afr Med J. 2023 Apr 24;44:198. doi: 10.11604/pamj.2023.44.198.37051. eCollection 2023.

DOI:10.11604/pamj.2023.44.198.37051
PMID:37484589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10362652/
Abstract

Leprosy is a chronic, granulomatous infectious disease commonly affecting the skin, nerves, mucosa and eyes. The stigma associated with the disease frequently leads to delay in presentation to health professionals. Treated patients, though considered cured presumptively, many continue to live with physical disabilities and deformities. Intact visual acuity prevents humans from trauma and any reduction in visual acuity, especially in leprosy, increases the risk of getting injured by many folds. Here, we present a case of leprosy with complete loss of vision due to bilateral anterior staphyloma secondary to keratitis and his physical deformities preventing him to take care of his eyes. This paper aims to emphasize on the importance of a baseline ophthalmology consultation in all newly diagnosed leprosy patients and repeat examination at onset of any new symptoms of the eye.

摘要

麻风病是一种慢性肉芽肿性传染病,通常影响皮肤、神经、黏膜和眼睛。与这种疾病相关的污名常常导致患者延迟向卫生专业人员就诊。尽管经过治疗的患者被认为是治愈的,但许多人仍继续患有身体残疾和畸形。完好的视力可防止人们受到创伤,而视力下降,尤其是在麻风病中,会使受伤的风险增加许多倍。在这里,我们报告了一例麻风病患者,由于双侧前部葡萄肿继发于角膜炎,导致视力完全丧失,并且他的身体畸形使他无法照顾自己的眼睛。本文旨在强调在所有新诊断的麻风病患者中进行基线眼科咨询的重要性,并在出现任何眼部新症状时进行重复检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/639ea02e6dce/PAMJ-44-198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/faa4d0685507/PAMJ-44-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/d1b37a9b1819/PAMJ-44-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/432f76bccada/PAMJ-44-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/639ea02e6dce/PAMJ-44-198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/faa4d0685507/PAMJ-44-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/d1b37a9b1819/PAMJ-44-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/432f76bccada/PAMJ-44-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/639ea02e6dce/PAMJ-44-198-g004.jpg

相似文献

1
Catastrophic ocular complications in leprosy: a case report.麻风眼部灾难性并发症:病例报告。
Pan Afr Med J. 2023 Apr 24;44:198. doi: 10.11604/pamj.2023.44.198.37051. eCollection 2023.
2
Blindness in leprosy patients of Kaduna State, Northern Nigeria.
Trop Doct. 1995 Oct;25(4):181-3. doi: 10.1177/004947559502500413.
3
Ocular leprosy.眼部麻风病
Clin Dermatol. 2015 Jan-Feb;33(1):79-89. doi: 10.1016/j.clindermatol.2014.07.003.
4
The prevalence of ocular complications in leprosy patients seen in the United Kingdom over a period of 21 years.在过去的 21 年中,在英国观察到的麻风病患者眼部并发症的流行情况。
Eye (Lond). 2011 Jun;25(6):740-5. doi: 10.1038/eye.2011.43. Epub 2011 Mar 18.
5
Strategies for improvement of management of ocular complications in leprosy.改善麻风病眼部并发症管理的策略。
Indian J Lepr. 1998 Jan-Mar;70(1):61-70.
6
Progression of eye disease in "cured" leprosy patients: implications for understanding the pathophysiology of ocular disease and for addressing eyecare needs.“治愈”麻风病患者眼部疾病的进展:对理解眼部疾病病理生理学及满足眼保健需求的意义
Br J Ophthalmol. 2000 Aug;84(8):817-21. doi: 10.1136/bjo.84.8.817.
7
Blindness in leprosy--a forgotten complication.麻风病导致的失明——一种被遗忘的并发症。
Aust N Z J Ophthalmol. 1989 Aug;17(3):257-60. doi: 10.1111/j.1442-9071.1989.tb00529.x.
8
Leprosy in a trachomatous population.沙眼人群中的麻风病
Arch Ophthalmol. 1984 Feb;102(2):240-4. doi: 10.1001/archopht.1984.01040030190024.
9
Blindness and low vision in leprosy patients in Sichuan Province, China.中国四川省麻风病患者的失明和视力低下情况。
Indian J Lepr. 1998 Jan-Mar;70(1):139-43.
10
Ocular complications in incident relapsed borderline lepromatous and lepromatous leprosy patients in south India.印度南部新发病例、复发的界线类偏瘤型和瘤型麻风患者的眼部并发症
Indian J Ophthalmol. 2003 Jun;51(2):155-9.

本文引用的文献

1
Acquired anterior staphyloma after corneal ulcer associated with the use of crack.
Arq Bras Oftalmol. 2016 Jul-Aug;79(4):268-9. doi: 10.5935/0004-2749.20160076.
2
Chronicles of Gerhard-Henrik Armauer Hansen's Life and Work.格哈德 - 亨里克·阿马厄·汉森的生平与著作纪事
Indian J Dermatol. 2015 May-Jun;60(3):219-21. doi: 10.4103/0019-5154.156310.
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Ocular leprosy.眼部麻风病
Clin Dermatol. 2015 Jan-Feb;33(1):79-89. doi: 10.1016/j.clindermatol.2014.07.003.
4
Granulomatous reactivation during the course of a leprosy infection: reaction or relapse.在麻风病感染过程中出现的肉芽肿再激活:反应还是复发。
PLoS Negl Trop Dis. 2010 Dec 21;4(12):e921. doi: 10.1371/journal.pntd.0000921.
5
Role of iris changes as a cause of blindness in lepromatous leprosy.虹膜变化在瘤型麻风致盲中的作用
Br J Ophthalmol. 1981 Apr;65(4):231-9. doi: 10.1136/bjo.65.4.231.