类风湿性巩膜炎。

Rheumatoid scleritis.

作者信息

Barr C C, Davis H, Culbertson W W

出版信息

Ophthalmology. 1981 Dec;88(12):1269-73. doi: 10.1016/s0161-6420(81)34866-0.

Abstract

A 59-year-old black female with rheumatoid arthritis developed diffuse anterior scleritis with orbital and adnexal involvement. Computerized axial tomograhy (CAT) demonstrated the location and extent of the lesion. Biopsy of subconjunctival tissue revealed a rheumatoid nodule, characterized by granulomatous inflammation and fibrinoid necrosis. The patient improved rapidly on large doses of systemic corticosteroids. The relationship of scleritis to rheumatoid arthritis is discussed. The histopathologic features of rheumatoid scleritis, its apppearance on the CAT scan, and the management of this disease are also presented.

摘要

一名59岁患类风湿性关节炎的黑人女性出现了伴有眼眶和附属器受累的弥漫性前巩膜炎。计算机断层扫描（CAT）显示了病变的位置和范围。结膜下组织活检显示为类风湿结节，其特征为肉芽肿性炎症和纤维素样坏死。该患者在大剂量全身使用皮质类固醇后迅速好转。文中讨论了巩膜炎与类风湿性关节炎的关系。还介绍了类风湿性巩膜炎的组织病理学特征、其在CAT扫描上的表现以及该疾病的治疗方法。