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[具有致命病程的白塞病]

[Behçet's disease with a fatal evolution].

作者信息

Stan C, Săceleanu A M

机构信息

Clinica oftalmologică Cluj.

出版信息

Oftalmologia. 1997;41(3):228-30.

PMID:9409968
Abstract

Behçet disease in an inflammatory systemic disease, of unknown etiology. Usually it is defined by a triad; buccal ulcerations, genital ulcerations and uveitis. Treatment is based on steroids and in difficult cases cyclosporina or cytotoxic agents could be used. We present a case of Behçet disease in a young male. The first symptoms were retrobulbar optic neuropathy, followed by buccal and genital ulcerations. For beginning the treatment was based on steroids, but the disease was more and more severe, so that the left eye lost its function because of an inflammatory maculopathy and new symptoms arose. We started treatment with cyclosporina (5 mg/kg/day), but we had to stopped it 3 months latter because of renal function's failure.

摘要

白塞病是一种病因不明的炎症性全身性疾病。通常由三联征定义,即口腔溃疡、生殖器溃疡和葡萄膜炎。治疗以类固醇为基础,在困难病例中可使用环孢素或细胞毒性药物。我们报告一例年轻男性白塞病病例。最初症状是球后视神经炎,随后出现口腔和生殖器溃疡。开始治疗时以类固醇为基础,但病情越来越严重,以至于左眼因炎症性黄斑病变失去功能,且出现了新症状。我们开始用环孢素(5毫克/千克/天)治疗,但3个月后因肾功能衰竭不得不停药。

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