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病毒性前葡萄膜炎:诊断与治疗的实用综合综述

Viral Anterior Uveitis: A Practical and Comprehensive Review of Diagnosis and Treatment.

作者信息

Feng Yun, Garcia Ruby, Rojas-Carabali William, Cifuentes-González Carlos, Putera Ikhwanuliman, Li Jingyi, La Distia Nora Rina, Mahendradas Padmamalini, Gupta Vishali, de-la-Torre Alejandra, Agrawal Rupesh

机构信息

Department of Ophthalmology, Peking University Third Hospital, Beijing, China.

Eye Center, Peking University Third Hospital, Beijing, China.

出版信息

Ocul Immunol Inflamm. 2024 Oct;32(8):1804-1818. doi: 10.1080/09273948.2023.2271077. Epub 2023 Oct 20.

Abstract

Anterior uveitis is the most common type of uveitis worldwide. The etiologies of anterior uveitis can be divided into infectious and non-infectious (idiopathic, autoimmune, autoinflammatory, trauma, and others). The viral pathogens most commonly associated with infectious anterior uveitis include Herpes Simplex Virus, Varicella-Zoster Virus, Cytomegalovirus, and Rubella Virus. Other emerging causes of viral anterior uveitis are West Nile Virus, Human-Immunodeficiency Virus, Epstein-Barr Virus, Parechovirus, Dengue Virus, Chikungunya Virus, and Human Herpesvirus type 6,7, and 8. Early recognition allows prompt management and mitigates its potential ocular complications. This article provides an updated literature review of the epidemiology, clinical manifestations, diagnostic tools, and treatment options for viral anterior uveitis.

摘要

前葡萄膜炎是全球最常见的葡萄膜炎类型。前葡萄膜炎的病因可分为感染性和非感染性(特发性、自身免疫性、自身炎症性、创伤性等)。与感染性前葡萄膜炎最常相关的病毒病原体包括单纯疱疹病毒、水痘 - 带状疱疹病毒、巨细胞病毒和风疹病毒。病毒性前葡萄膜炎的其他新出现病因是西尼罗河病毒、人类免疫缺陷病毒、爱泼斯坦 - 巴尔病毒、细小病毒、登革病毒、基孔肯雅病毒以及人类疱疹病毒6型、7型和8型。早期识别有助于及时处理并减轻其潜在的眼部并发症。本文提供了关于病毒性前葡萄膜炎的流行病学、临床表现、诊断工具和治疗选择的最新文献综述。

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