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前葡萄膜炎、巩膜炎的模仿者及误诊——角膜专科医生的小贴士与技巧

Mimickers of anterior uveitis, scleritis and misdiagnoses- tips and tricks for the cornea specialist.

作者信息

Caplash Sonny, Paez-Escamilla Manuel, Westcott Mark, Dansingani Kunal K, Indermill Chad, Kisma Nacima, Frau Eric, Sahel Jose-Alain, Bodaghi Bahram, Jhanji Vishal, Errera Marie-Helene

机构信息

Department of Ophthalmology, University of Pittsburgh, 203 Lothrop Street, Pittsburgh, PA, 15213, USA.

NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.

出版信息

J Ophthalmic Inflamm Infect. 2024 Apr 10;14(1):14. doi: 10.1186/s12348-024-00396-z.

DOI:10.1186/s12348-024-00396-z
PMID:38594487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11004105/
Abstract

BACKGROUND

Anterior uveitis, inflammation of the anterior chamber and related structures, is a cohort of diseases that can present to almost any general or sub-specialty Ophthalmology practice. Its features classically involve anterior chamber cell and flare. Below the surface of these two signs exist a panoply of diagnoses. BODY: The purpose of this review is to provide a general framework for diagnoses of anterior uveitis that are often missed as well as non-uveitic pathologies that often mimic anterior uveitis. Diagnostic deviation in either direction can have vision-threatening and rarely life-threatening consequences for patients. Using a comprehensive literature review we have collected a broad spectrum of etiologies of anterior uveitis that are easily missed and non-uveitic pathologies that can masquerade as anterior uveitis.

CONCLUSIONS

We present a focused review on specific misdiagnosed anterior uveitis pathologies and some of the conditions that can masquerade as anterior uveitis and scleritis.

摘要

背景

前葡萄膜炎,即前房及相关结构的炎症,是一类几乎可出现在任何普通眼科或亚专科眼科诊所的疾病。其典型特征包括前房细胞和闪光。在这两个体征表面之下存在一系列诊断。

主体

本综述的目的是提供一个用于诊断常被漏诊的前葡萄膜炎以及常模仿前葡萄膜炎的非葡萄膜炎性病变的总体框架。诊断方向上的偏差可能对患者造成视力威胁,极少数情况下会危及生命。通过全面的文献综述,我们收集了一系列易被漏诊的前葡萄膜炎病因以及可伪装成前葡萄膜炎的非葡萄膜炎性病变。

结论

我们对特定误诊的前葡萄膜炎病理以及一些可伪装成前葡萄膜炎和巩膜炎的病症进行了重点综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/56b03dbf857a/12348_2024_396_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/ed3467a0bac7/12348_2024_396_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/855d97368cd2/12348_2024_396_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/d43fef306195/12348_2024_396_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/03113382e6ba/12348_2024_396_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/56b03dbf857a/12348_2024_396_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/ed3467a0bac7/12348_2024_396_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/855d97368cd2/12348_2024_396_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/d43fef306195/12348_2024_396_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/03113382e6ba/12348_2024_396_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9347/11004105/56b03dbf857a/12348_2024_396_Fig5_HTML.jpg

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A case of aggressive natural killer cell leukemia.侵袭性自然杀伤细胞白血病 1 例
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Clinical Manifestations, Diagnosis, Treatment and Prognosis of Uveitis Induced by Anticancer Drugs: A Review of Literature.抗癌药物所致葡萄膜炎的临床表现、诊断、治疗及预后:文献综述
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Characteristics and Clinical Ocular Manifestations in Patients with Acute Corneal Graft Rejection after Receiving the COVID-19 Vaccine: A Systematic Review.接种新冠疫苗后急性角膜移植排斥反应患者的特征及临床眼部表现:一项系统综述
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Intraocular lymphoma masquerading as unilateral hypopyon anterior uveitis: a case report.伪装成单侧前房积脓性前葡萄膜炎的眼内淋巴瘤:一例报告
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