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[儿童艾滋病的眼部表现]

[The ocular manifestations of AIDS in children].

作者信息

Iordănescu C, Mătuşa R, Denislam D, Cioablă D, Weber C

机构信息

Clinica Oftalmologică, Constanta.

出版信息

Oftalmologia. 1993 Oct-Dec;37(4):308-14.

PMID:8286314
Abstract

The exam of 33 children with AIDS revealed in 10 cases manifestations of the anterior pole and of ocular anexes specific to this infection. In 8 cases we noticed seborrheic dermatitis, exudative dermatitis. Molluscum contagiosum, staphilococies, papoulous eruptions . In 3 cases there were herpetic infections, one of them was corneal localized. In one case was Burkitt lymphoma with palpebral exteriorization. The fundus exam revealed retinal microvasculopathies with aneurysmal dilatations in cases and retinal hemorrhages in 3 cases. The discrete found in 8 cases, in 2 cases was bilateral papillary and papilloretinal edema was papillary stasis. In 8 cases was partial optical atrophia and in one case we noticed tapetoretinal degenerescente. The aid of the ophthalmologist in the thorough examination of children having AIDS was important, in spite of the unspecific nature of the noticed lesions.

摘要

对33名艾滋病患儿的检查发现,10例有该感染特有的前极及眼附件表现。8例可见脂溢性皮炎、渗出性皮炎、传染性软疣、葡萄球菌感染、丘疹性皮疹。3例有疱疹感染,其中1例为角膜局部感染。1例为伴有睑外翻的伯基特淋巴瘤。眼底检查发现,部分病例有伴有动脉瘤样扩张的视网膜微血管病变,3例有视网膜出血。8例发现有视盘改变,2例为双侧乳头及乳头视网膜水肿,即乳头郁滞。8例有部分视神经萎缩,1例有视网膜色素变性。尽管所发现的病变不具有特异性,但眼科医生对艾滋病患儿进行全面检查很重要。

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