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葡萄膜炎:MOG抗体谱中的一个缩影。

Uveitis: A snapshot in the MOG antibody spectrum.

作者信息

Fabiani Claudia, Tosi Gian Marco, Damato Valentina, Ulivelli Monica, Rufa Alessandra, Cerase Alfonso, De Stefano Nicola, Cortese Rosa

机构信息

Ophthalmology Unit, Department of Medicine, Surgery and Neurosciences, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center], Policlinico "Le Scotte," Siena, Italy.

Department of Neurosciences, Drugs and Child Health, University of Florence, Florence, Italy.

出版信息

Mult Scler. 2025 Jan;31(1):121-123. doi: 10.1177/13524585241285173. Epub 2024 Sep 29.

Abstract

Despite the commonly observed association of anti-myelin oligodendrocyte glycoprotein (MOG) antibodies with bilateral optic neuritis, their connection to uveitis is largely unexplored. The presented case involves a 41-year-old male with uveitis and bilateral optic neuritis, subsequently diagnosed with myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). This case, characterized by bilateral optic neuritis associated to anti-MOG antibodies and the concurrent onset of unilateral anterior uveitis, provides further evidence concerning the features of intraocular inflammation in MOGAD. The patient's treatment response, including the use of rituximab due to contraindications to oral steroids, emphasizes the importance of personalized management strategies in MOGAD-associated ocular manifestations.

摘要

尽管抗髓鞘少突胶质细胞糖蛋白(MOG)抗体与双侧视神经炎之间的关联较为常见,但其与葡萄膜炎的联系在很大程度上尚未得到充分研究。本文介绍的病例是一名41岁男性,患有葡萄膜炎和双侧视神经炎,随后被诊断为髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)。该病例以与抗MOG抗体相关的双侧视神经炎和单侧前葡萄膜炎的同时发病为特征,为MOGAD的眼内炎症特征提供了进一步的证据。患者的治疗反应,包括因口服类固醇禁忌而使用利妥昔单抗,强调了针对MOGAD相关眼部表现的个性化管理策略的重要性。

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