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罕见的坏血病眼球突出病例。

Unusual case of 'scorbutic proptosis'.

机构信息

Pediatrics, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India.

Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), NewDelhi, India.

出版信息

BMJ Case Rep. 2024 Jan 31;17(1):e253380. doi: 10.1136/bcr-2022-253380.

Abstract

Proptosis is a frequent presenting symptom/sign of many paediatric malignancies. Acute-onset proptosis is an ophthalmic emergency that can endanger vision if not treated promptly. Appropriate treatment must be instituted only after investigating for the underlying aetiology. Here, we report a developmentally delayed boy in middle childhood who presented with recent onset bilateral proptosis. Clinical examination followed by radiological evaluation suggested scurvy to be the underlying cause and vitamin C supplementation led to prompt reversal of proptosis. The relevant literature has been reviewed and presented here to apprise the paediatric oncologists about this rare but easily treatable cause of proptosis.

摘要

眼球突出是许多儿科恶性肿瘤的常见表现/症状。急性发病的眼球突出是一种眼科急症,如果不及时治疗,可能会危及视力。只有在调查潜在病因后,才能进行适当的治疗。在此,我们报告了一名处于儿童中期的发育迟缓男孩,他最近出现双侧眼球突出。临床检查和影像学评估提示坏血病是潜在的原因,补充维生素 C 后眼球突出迅速逆转。我们回顾了相关文献,并在此呈现,以使儿科肿瘤学家了解这种罕见但易于治疗的眼球突出原因。

相似文献

1
Unusual case of 'scorbutic proptosis'.罕见的坏血病眼球突出病例。
BMJ Case Rep. 2024 Jan 31;17(1):e253380. doi: 10.1136/bcr-2022-253380.
3
Bilateral proptosis in a child with vitamin C deficiency.一名维生素C缺乏儿童出现双侧眼球突出。
Int Ophthalmol. 2012 Dec;32(6):599-601. doi: 10.1007/s10792-012-9602-9. Epub 2012 Jul 1.
5
Spontaneous orbital haematoma in a scurvy child: A forgotten diagnosis.坏血病患儿自发性眼眶血肿:一个被遗忘的诊断。
Int J Pediatr Otorhinolaryngol. 2020 Oct;137:110224. doi: 10.1016/j.ijporl.2020.110224. Epub 2020 Jul 11.
9
Unilateral proptosis.单侧眼球突出
Otolaryngol Clin North Am. 1988 Feb;21(1):53-63.

本文引用的文献

1
Spontaneous orbital haematoma in a scurvy child: A forgotten diagnosis.坏血病患儿自发性眼眶血肿:一个被遗忘的诊断。
Int J Pediatr Otorhinolaryngol. 2020 Oct;137:110224. doi: 10.1016/j.ijporl.2020.110224. Epub 2020 Jul 11.
2
Etiologies of Proptosis: A review.眼球突出的病因:综述
Intern Med Rev (Wash D C). 2020 Mar;6(3). doi: 10.18103/imr.v6i3.852.
3
The risk for scurvy in children with neurodevelopmental disorders.神经发育障碍儿童患坏血病的风险。
Spec Care Dentist. 2020 May;40(3):251-259. doi: 10.1111/scd.12459. Epub 2020 Apr 24.
4
Neuropsychiatric scurvy.神经精神性坏血病
Psychosomatics. 2015 Jan-Feb;56(1):12-20. doi: 10.1016/j.psym.2014.05.010. Epub 2014 Jun 2.
5
Nontraumatic orbital hemorrhage.非外伤性眼眶出血。
Surv Ophthalmol. 2014 Mar-Apr;59(2):166-84. doi: 10.1016/j.survophthal.2013.07.002. Epub 2013 Dec 18.
6
Bilateral proptosis in a child with vitamin C deficiency.一名维生素C缺乏儿童出现双侧眼球突出。
Int Ophthalmol. 2012 Dec;32(6):599-601. doi: 10.1007/s10792-012-9602-9. Epub 2012 Jul 1.
7
Scurvy: past, present and future.坏血病:过去、现在和未来。
Eur J Intern Med. 2011 Apr;22(2):147-52. doi: 10.1016/j.ejim.2010.10.006. Epub 2010 Nov 16.

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