Miyashiro M J, Yee R W, Patel G, Ruiz R S
Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 77030, USA.
Cornea. 1999 Jan;18(1):115-6.
To report a case of Lyme disease that presented with a single nummular unilateral interstitial keratitis.
Case report and review of the literature.
A 57-year-old black man who had contact with freshly killed deer had a chief complaint of foreign-body sensation in his right eye (OD) that had been diagnosed and treated for herpes simplex stromal keratitis. The patient underwent a systemic workup for interstitial keratitis. All results including RPR and MHA-TP were negative except for Lyme antibody titer (enzyme-linked immunosorbent assay [ELISA]) 178 U/ml (normal, <159 U/ml).
Interstitial keratitis from Lyme disease has been regarded as a bilateral disease in the literature. We present this infrequent ocular manifestation of Lyme disease as a rare single nummular unilateral presentation.
报告一例莱姆病，其表现为单个钱币状单侧间质性角膜炎。
病例报告及文献复习。
一名57岁的黑人男性，曾接触刚被杀死的鹿，主要主诉右眼有异物感，该眼曾被诊断为单纯疱疹性基质性角膜炎并接受治疗。患者接受了间质性角膜炎的全身检查。除莱姆抗体滴度（酶联免疫吸附测定[ELISA]）为178 U/ml（正常，<159 U/ml）外，包括快速血浆反应素环状卡片试验（RPR）和梅毒螺旋体血凝试验（MHA-TP）在内的所有结果均为阴性。
文献中一直将莱姆病引起的间质性角膜炎视为双侧疾病。我们将这种莱姆病罕见的眼部表现呈现为罕见的单个钱币状单侧表现。
