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麦角胺药物治疗后双侧血管性乳头炎(作者译)

[Bilateral vascular papillitis following ergotamin medication (author's transl)].

作者信息

Wollensak J, Grajewski O

出版信息

Klin Monbl Augenheilkd. 1978 Nov;173(5):731-7.

PMID:732190
Abstract

A 36-years aged woman suffering from migraine used Ergosanol special-suppositories. An edema of the retina with star figure appeared in both eyes with only a few months distance. After putting away that drug visual acuity restituted completely in spite of a partial neuritic atrophy of the optic nerve in the first suffering eye. If Ergotamin containing drugs are not used for too long time the condition usually is getting better within a few days. Thereby the diagnosis can be confirmed clinically. The same results could be expected if DHE leads to Ergotismus which is not yet confirmed. In literature central scotomas as well as annular scotomas are reported. In Ergotamin induced angioneuropathies there is a large difference in individual response. Our observation showed that drugs taken for years are no more felt as a pharmacon by a patient and therefore are not reported to the examinating physician.

摘要

一名36岁患有偏头痛的女性使用了麦角胺醇特殊栓剂。仅在几个月内,双眼就出现了带有星状图案的视网膜水肿。停用该药物后,尽管第一只患病眼睛的视神经出现了部分神经炎萎缩,但视力仍完全恢复。如果含麦角胺的药物使用时间不长,病情通常会在几天内好转。由此可通过临床确诊。如果二氢麦角胺导致麦角中毒(尚未得到证实),预计也会有相同结果。文献中报道了中心暗点和环形暗点。在麦角胺诱发的血管神经病变中,个体反应差异很大。我们的观察表明,患者多年来服用的药物不再被视为药物,因此未向检查医生报告。

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