淋巴细胞泛囊炎模仿玻璃眼:病例报告
Phillip Howard Keys1, Patrick J Hunt2, Clement Anozie1
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Case reports in ophthalmology
|July 24, 2023
概括
淋巴细胞性低细胞性炎症 (LH) 是一种罕见的垂体炎症,通常与自身免疫有关. 这一案例突出显示,淋巴细胞泛囊炎 (LPH) 可以模仿其他疾病,如玻璃眼,即使没有典型的荷尔蒙症状.
科学领域:
- 内分泌学 在内分泌学.
- 神经免疫学 神经免疫学
- 病理学 病理学 病理学
背景情况:
- 淋巴细胞性低细胞性炎症 (LH) 是垂体腺的炎症性疾病,通常是自身免疫性疾病.
- 它通常表现为质量效应和荷尔蒙功能障碍.
研究的目的:
- 为了呈现一个淋巴细胞泛囊炎 (LPH) 的病例,错误地诊断为玻璃眼.
- 为了强调LPH可以在没有内分泌不良的情况下出现.
- 强调在特定的临床场景中考虑LPH的重要性.
主要方法:
- 活检证明的LPH的案例报告.
- 对临床表现,诊断成像 (MRI) 和治疗反应的审查.
- 讨论差异诊断,包括青光眼.
主要成果:
- 患者出现了模仿绿眼病的视野缺陷.
- 内分泌不良不存在,延迟了LH诊断.
- 磁共振成像显示了一个细胞质量与LPH一致.
- 通过手术切除和葡萄糖皮质激素,患者的病情有所改善.
结论:
- 淋巴细胞泛型肺炎可以在没有内分泌症状的情况下出现,模仿其他疾病.
- 临床医生应在无法解释的视野缺陷的情况下怀疑LPH,特别是有自身免疫性疾病史的人.
- 及时的成像和对自身免疫病因的考虑对于准确的诊断和管理至关重要.
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