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一名14岁儿童孤立性视神经炎中髓鞘少突胶质细胞糖蛋白抗体呈阳性

Positive Myelin Oligodendrocyte Glycoprotein Antibodies in Isolated Optic Neuritis in a 14-Year-Old Child.

作者信息

Albuainain Madhawi J, Alfehaid Ali, Jadah Raafat Hammad Seroor

机构信息

Internal Medicine, Bahrain Defence Force Hospital, Riffa, BHR.

Internal Medicine, King Hamad University Hospital, Muharraq, BHR.

出版信息

Cureus. 2024 May 30;16(5):e61371. doi: 10.7759/cureus.61371. eCollection 2024 May.

Abstract

Optic neuritis (ON) is a rare condition in the pediatric age group. Patients with optic neuritis can manifest with a wide range of drops in vision, ranging from mild loss to complete loss of vision. Knowing the cause of optic neuritis is an important point that will affect management and prognosis. Anti-myelin oligodendrocyte glycoprotein (anti-MOG) antibody is an autoantibody that causes demyelination of the central nervous system (CNS). Treatment with a high dose of IV steroids followed by oral steroids is the best regimen that shows a favorable vision outcome. We aim to report this case of isolated optic neuritis with a positive anti-myelin oligodendrocyte glycoprotein antibody to highlight the prognosis of myelin oligodendrocyte glycoprotein disease with isolated optic neuritis and how early diagnosis and treatment can affect the visual outcome.

摘要

视神经炎(ON)在儿童年龄组中是一种罕见疾病。视神经炎患者可表现出广泛的视力下降,从轻度视力丧失到完全失明。了解视神经炎的病因是影响治疗和预后的重要因素。抗髓鞘少突胶质细胞糖蛋白(抗MOG)抗体是一种可导致中枢神经系统(CNS)脱髓鞘的自身抗体。大剂量静脉注射类固醇随后口服类固醇的治疗方案是显示出良好视力预后的最佳方案。我们旨在报告这例抗髓鞘少突胶质细胞糖蛋白抗体阳性的孤立性视神经炎病例,以强调孤立性视神经炎的髓鞘少突胶质细胞糖蛋白疾病的预后,以及早期诊断和治疗如何影响视力结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c12/11214530/dcb7ab2b1388/cureus-0016-00000061371-i01.jpg

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