Gatinel D, Larroche C, Chaine G, Poulet B, Guillevin L
Service d'Ophtalmologie, Université Paris-XIII, Bobigny.
J Fr Ophtalmol. 1996;19(2):153-7.
Ocular manifestations of relapsing polychondritis occur in 60% of patients, most often in association with other systemic manifestations of the disease. Episcleritis is the most common manifestation, but scleral perforation, retinal vasculitis, optic neuritis and necrotizing scleritis can lead to blindness and require the use of immunosuppressive agents. We report the case of a 72-year-old woman with diffuse bilateral scleritis as the single manifestation of relapsing polychondritis. High dose steroids were used with success.
复发性多软骨炎的眼部表现见于60%的患者,最常与该疾病的其他全身表现相关。巩膜炎是最常见的表现,但巩膜穿孔、视网膜血管炎、视神经炎和坏死性巩膜炎可导致失明,需要使用免疫抑制剂。我们报告一例72岁女性,以双侧弥漫性巩膜炎作为复发性多软骨炎的唯一表现。使用大剂量类固醇取得了成功。