与单克隆丙种球蛋白病相关的免疫球蛋白G结晶性角膜病变
Immunoglobulin G crystalline keratopathy associated with monoclonal gammopathy.
作者信息
Hutchinson K, Dal Pra M, Apel A
机构信息
The Eye Unit, Greenslopes Private Hospital, Brisbane, Queensland, Australia.
出版信息
Aust N Z J Ophthalmol. 1998 May;26(2):177-9. doi: 10.1111/j.1442-9071.1998.tb01539.x.
PURPOSE
Two cases of corneal crystal deposition are reported, both caused by a benign monoclonal gammopathy
METHODS
Similar corneal pathology is identified in these two patients, both of whom presented with visual acuities of 6/6 or better Consideration of possible causes involved biochemical and haematological testing and assessment.
RESULTS
Potential for malignant transformation of monoclonal gammopathy was recognized, hence the need for ongoing haematological follow-up.
CONCLUSION
Corneal crystals may be the initial presentation in a patient with monoclonal gammopathy, a rare, but significant, clinical finding.
目的
报告两例角膜晶体沉积病例，均由良性单克隆丙种球蛋白病引起。
方法
在这两名患者中发现了相似的角膜病理变化，他们的视力均为6/6或更好。对可能的病因进行了生化和血液学检测及评估。
结果
认识到单克隆丙种球蛋白病有恶变的可能性，因此需要持续进行血液学随访。
结论
角膜晶体可能是单克隆丙种球蛋白病患者的首发表现，这是一种罕见但重要的临床发现。
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