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病例报告:罕见的白塞病葡萄膜炎中的基里尔艾斯斑。

Case Report: Kyrieleis plaques in an unusual Behcet's disease uveitis.

作者信息

Li Jiani, Zhao Tantai, Guo Xiaojian, Xiao Yangyan

机构信息

Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Department of Ophthalmology, Hunan University of Medicine General Hospital, Huaihua, Hunan, China.

出版信息

Front Med (Lausanne). 2025 May 22;12:1544319. doi: 10.3389/fmed.2025.1544319. eCollection 2025.

Abstract

Kyrieleis plaques are a rare retinal manifestation that has rarely been reported in Behcet's disease uveitis. We report the case of a 41-year-old man who presented with Behçet's disease uveitis combined with central serous chorioretinopathy. Laboratory studies showed positive for human leukocyte antigen B51. Polymerase chain reaction analysis of aqueous humor excluded infectious uveitis. Kyrieleis plaques were observed in the bilateral retinal arteries. These plaques persisted in both eyes after half a year of immunosuppressive treatments. Kyrieleis plaques are not limited to infectious uveitis; they can also be associated with Behçet's disease uveitis.

摘要

基里尔艾利斯斑是一种罕见的视网膜表现,在白塞病葡萄膜炎中鲜有报道。我们报告一例41岁男性患者,其患有白塞病葡萄膜炎并合并中心性浆液性脉络膜视网膜病变。实验室检查显示人类白细胞抗原B51呈阳性。房水的聚合酶链反应分析排除了感染性葡萄膜炎。在双侧视网膜动脉中观察到了基里尔艾利斯斑。经过半年的免疫抑制治疗后,这些斑块在双眼依然存在。基里尔艾利斯斑并不局限于感染性葡萄膜炎;它们也可与白塞病葡萄膜炎相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a2/12137255/254ecea2bc26/fmed-12-1544319-g0001.jpg

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