Falcone P M, Larrison W I
Connecticut Retina Consultants, P.C.
Conn Med. 1995 May;59(5):271-3.
Roth spots seen on fundoscopic examination (white-centered hemorrhages) were classically described as septic emboli in patients with subacute bacterial endocarditis (SBE). Many physicians have considered them pathognomonic for this entity. More recent evidence suggests, however, that they are nonspecific and may be found in other disease states. A review of the pathogenesis of these white-centered hemorrhages will be provided, along with some diseases other than SBE in which they may occur.
眼底镜检查时发现的 Roth 斑（中心为白色的出血斑）在亚急性细菌性心内膜炎（SBE）患者中传统上被描述为脓毒性栓子。许多医生认为它们是该疾病的特征性表现。然而，最近的证据表明，它们是非特异性的，可能在其他疾病状态中出现。本文将对这些中心为白色的出血斑的发病机制进行综述，并介绍除 SBE 外可能出现这些出血斑的一些其他疾病。
