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眼内肌麻痹:水痘这种常见疾病的一种罕见并发症。

Internal ophthalmoparesis: an uncommon complication of varicella, a common disease.

作者信息

Dubois H F, van Bijsterveld O P

出版信息

Ophthalmologica. 1977;175(5):263-8. doi: 10.1159/000308667.

Abstract

Two cases are represented with ocular complications after varicella. In one case the complication was diagnosed as internal ophthalmoparesis and in the second patient the complication could be the same; at any rate an iridoplegia was present. From the cases presented in the literature we found that there seems to be a predilection for males to contract this type of ocular complication. The association of this complication and meningo-encephalitis is rare. Recovery of the pupillary reactions and accommodative power is almost never complete. The interesting observation that decrease in cell-mediated immunity but not in humoral immunity decides whether the clinical disease will manifest itself as herpes zoster or varicella is brought forward.

摘要

水痘后出现眼部并发症的病例有两例。其中一例并发症被诊断为眼内肌麻痹,另一例患者的并发症可能相同;无论如何,存在虹膜麻痹。从文献报道的病例中我们发现,男性似乎更容易发生这种眼部并发症。这种并发症与脑膜脑炎的关联很少见。瞳孔反应和调节能力几乎从未完全恢复。有一个有趣的观察结果被提了出来,即细胞介导免疫的降低而非体液免疫的降低决定了临床疾病将表现为带状疱疹还是水痘。

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