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从糖尿病视网膜病变病程中诊断出的慢性髓性白血病。

Chronic myeloid leukemia diagnosed from the course of diabetic retinopathy.

作者信息

Bhattacharjee Raghudev, Mishra Avinash, Mishra Chitaranjan, Bhawsinka Yoshita

机构信息

Ophthalmologist, VR Specialist, Trilochan Netralaya, Sambal Pur, Odisha, India.

Professor & Head (Ophthalmology), Military Hospital Jalandhar, India.

出版信息

Med J Armed Forces India. 2024 Sep-Oct;80(5):599-603. doi: 10.1016/j.mjafi.2022.12.009. Epub 2023 Jan 30.

Abstract

We report a case of chronic myeloid leukemia (CML), which was diagnosed during the management of proliferative retinopathy (PR) in a patient with type I diabetes mellitus due to the fulminant nature of the PR. This case highlights the importance of vigilance on the part of the ophthalmologist in the diagnosis of co-existing systemic disorders, notably hematological malignancy, which aggravates the posterior segment vasculopathy of the eye and the management of which is crucial for the patient. We also describe a short literature review on the clinical features, mechanism of the posterior segment vasculopathy of the eye, and management of PR co-existing in a patient with CML.

摘要

我们报告了一例慢性髓性白血病(CML)病例,该病例是在一名I型糖尿病患者增殖性视网膜病变(PR)的治疗过程中因PR的暴发性而被诊断出来的。该病例强调了眼科医生在诊断并存的全身性疾病(尤其是血液系统恶性肿瘤)方面保持警惕的重要性,这种疾病会加重眼部后段血管病变,而其治疗对患者至关重要。我们还对CML患者并存的PR的临床特征、眼部后段血管病变机制及治疗进行了简短的文献综述。

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本文引用的文献

1
Authors' response: Proliferative retinopathy in chronic myeloid leukemia and diabetes: A "double whammy".
Surv Ophthalmol. 2022 Nov-Dec;67(6):1731-1732. doi: 10.1016/j.survophthal.2022.07.004. Epub 2022 Jul 21.
10
Chronic myeloid leukemia diagnosed in a patient with uncontrolled proliferative diabetic retinopathy.
Retin Cases Brief Rep. 2015 Summer;9(3):210-3. doi: 10.1097/ICB.0000000000000140.

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