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克罗恩病患者的眼眶肌炎:两例病例报告

Orbital myositis in a patient with Crohn's disease: A case report of two episodes.

机构信息

Ophthalmology, Vall d'Hebron University Hospital, Barcelona, Spain; Ophthalmology, Innova Ocular ICO Barcelona, Barcelona, Spain.

Ophthalmology, Vall d'Hebron University Hospital, Barcelona, Spain.

出版信息

J Fr Ophtalmol. 2024 Apr;47(4):104048. doi: 10.1016/j.jfo.2023.104048. Epub 2024 Jan 17.

Abstract

PURPOSE

To describe a case report of a 34 years-old patient with Crohn's Disease and two episodes of Ocular Myositis.

METHODS

The research methodology employed in this study consisted of a retrospective review of the patient's complete medical history.

RESULTS

Crohn's Disease is a chronic inflammatory bowel disorder known to be associated with a wide range of extraintestinal manifestations. Ocular abnormalities, such as episcleritis and uveitis, are commonly observed. However, orbital myositis is an extremely rare ocular extraintestinal manifestations characterized by acute ocular pain that worsens with eye movements and is often accompanied by diplopia. In this case report, we present the case of a 34-year-old woman with a confirmed diagnosis of Crohn's Disease, who experienced two episodes of acute orbital pain exacerbated by ocular movements and diplopia. The diagnosis was established through clinical evaluation and radiologic imaging, with confirmation after a good response to systemic corticosteroids. She responded favorably to systemic corticosteroid therapy on both episodes, and no additional treatment was required. As of now, she remains stable without any ocular sequelae.

CONCLUSION

It is important to note that orbital myositis is an uncommon ocular manifestation associated with Crohn's Disease, and prompt recognition and management are crucial to achieve successful outcomes.

摘要

目的

描述一例 34 岁克罗恩病患者的病例报告,该患者发生了两次眼肌炎。

方法

本研究采用回顾性分析患者完整病史的研究方法。

结果

克罗恩病是一种慢性炎症性肠病,已知与多种肠外表现相关。眼部异常,如巩膜炎和葡萄膜炎,很常见。然而,眶肌炎是一种极为罕见的眼部肠外表现,其特征为急性眼球疼痛,随眼球运动而加重,并常伴有复视。在本病例报告中,我们介绍了一例 34 岁女性的病例,该患者确诊为克罗恩病,曾两次发生急性眶痛,眼球运动时加重,并伴有复视。通过临床评估和影像学检查进行诊断,在全身皮质类固醇治疗反应良好后得到确认。她在两次发作中均对全身皮质类固醇治疗反应良好,且无需额外治疗。截至目前,她病情稳定,无眼部后遗症。

结论

需要注意的是,眶肌炎是克罗恩病一种罕见的眼部表现,及时识别和治疗至关重要,以实现良好的治疗效果。

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