相关实验视频
Updated: Jul 22, 2025

05:38
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
126
缺血性血管封闭性视网膜病变作为儿科系统性红斑狼的初始表现:一个病例报告
Jin Hwan Jeon1, Hye Yeon Choi1, Jung Woo Rhim1
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Journal of rheumatic diseases
|July 21, 2023
概括
儿科系统性红斑狼 (pSLE) 很少出现缺血性血管封闭性视网膜病变. 使用类固醇和光凝固的早期干预可以改善视力,但不能保证完全康复.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
背景情况:
- 儿科系统性红斑狼 (pSLE) 是一种罕见的自身免疫性疾病.
- 缺血性血管封闭性视网膜病变是一种不常见的PSLE的初始表现.
研究的目的:
- 报告一个罕见的PSLE病例,呈现出缺血性血管闭合性视网膜病变.
- 突出早期诊断和干预pSLE视网膜病变的重要性.
主要方法:
- 评估了一名13岁的女性患者,她有疲劳,体重减轻和脱发的症状.
- 诊断工作包括泛囊的评估,SLE血清学标志物和眼科检查.
- 治疗包括静脉内注射,皮质类固醇和光凝.
主要成果:
- 该患者出现了泛细胞减肥和阳性SLE标志物,包括抗核抗体 (Ab) 和抗双链DNA Ab.
- 眼科发现显示出缺血性血管封闭性视网膜病变,视力显著受损 (血视,视力敏度降低).
- 联合治疗导致视力敏度和发烧的部分改善,但没有完全恢复视力.
结论:
- 缺血性血管封闭性视网膜病变可能是PSLE的预兆,需要及时识别.
- 积极的治疗,包括静脉内疗法和全身皮质类固醇,对于在患有视网膜病变的PSLE患者中保持视力至关重要.
- 及时干预是缓解狼相关视网膜病变的儿科患者不可逆转的视力损失的关键.
相关概念视频
Nephrotic Syndrome I : Introduction
9
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
9
Nephrotic Syndrome II : Assessment and Medical Management
8
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
8
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
17
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
17
Endocarditis II: Clinical Features of Infective Endocarditis
14
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
14
Nephrotic Syndrome III : Nursing Management
20
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
20

