患有COVID-19的儿科患者的急性和次急性眼部表现:系统性审查
1Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Medical hypothesis, discovery & innovation ophthalmology journal
|August 29, 2023
概括
眼部表现在急性COVID-19中不常见,但在MIS-C中很常见.结膜炎,通常是非性,是儿科MIS-C的主要症状,需要医疗保健提供者的警检测.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
背景情况:
- 随着COVID-19的流行,人们面临着重大的健康挑战.
- 儿童多系统炎症综合征 (MIS-C) 是COVID-19的一个严重并发症.
- 眼部表现可能是MIS-C的早期指标,需要及时诊断和治疗.
研究的目的:
- 系统地审查和总结患有实验室确认的COVID-19的儿科患者的急性和次急性眼部症状.
- 为了确定与COVID-19和MIS-C相关的眼部症状的患病率和类型.
主要方法:
- 2019年1月1日至2020年11月18日期间发表的在线初级研究的系统审查.
- 使用全面的眼科和COVID-19相关术语搜索了PubMed/MEDLINE.
- 包括没有语言限制的研究;资格和质量由两个独立审查员评估.
主要成果:
- 在463名患有急性COVID-19的儿科患者中,15.5%出现了急性眼部表现,包括罕见的视网膜静脉封闭和带有脑膜炎的光恐惧症.
- 在895名患有MIS-C的儿科患者中,52.4%患有眼部表现,主要是非性结膜炎.
结论:
- 在儿童COVID-19病例中,只有不到五分之一的儿童有眼部症状.
- 非性结膜炎是MIS-C患者的一半的唯一眼部发现,可能很容易被忽视.
- 在COVID-19大流行期间,医疗保健提供者必须保持警,以便在儿科患者中早期检测MIS-C.
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