Conway R M, Graham S L, Lassere M
University Department of Clinical Ophthalmology, Sydney Eye Hospital, Woolloomooloo, NSW.
Aust N Z J Ophthalmol. 1995 Feb;23(1):63-6. doi: 10.1111/j.1442-9071.1995.tb01648.x.
To describe an unusual variant of Yersinia-induced, HLA-B27 associated incomplete Reiter's syndrome with focal involvement of the posterior segment.
Review of case records of a patient presenting with incomplete Reiter's syndrome which included a reactive arthritis with keratoconjunctivitis and anterior uveitis.
The uveitis progressed to involve the posterior segment with a vitritis and two transient white retinal spots. After resolving, a retinal pigment epithelial (RPE) defect persisted at the site of one of the lesions.
While involvement of the anterior segment of the globe in Reiter's disease is well recognised, a review of the literature reveals that focal posterior involvement is a rare feature in either Reiter's syndrome or the reactive arthritis group.
描述耶尔森菌诱发的、与HLA - B27相关的不完全性赖特综合征的一种不寻常变体,其累及眼后段。
回顾一名不完全性赖特综合征患者的病例记录,该综合征包括反应性关节炎伴角膜结膜炎和前葡萄膜炎。
葡萄膜炎进展至累及眼后段,出现玻璃体炎和两个短暂性白色视网膜病灶。病灶消退后,其中一个病灶部位持续存在视网膜色素上皮(RPE)缺损。
虽然在赖特病中眼球前段受累已得到充分认识,但文献回顾显示,无论是赖特综合征还是反应性关节炎组,局限性后段受累都是一种罕见特征。