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胸腔新血管化和儿童的MEWDS类反应:一个罕见的病例
M Desira1, R Fitoussi1, A Comet1
1Ophthalmology Department, Hôpital Nord, Marseille (AP-HM), France.
European journal of ophthalmology
|October 6, 2023
概括
本病例报告详细介绍了患有多发白点综合征 (MEWDS) 的儿童的胆道新血管化 (CNV). 这种情况对抗血管内皮生长因子 (抗VEGF) 治疗的反应不佳,突出了罕见的儿科表现.
科学领域:
- 眼科医生 眼科 眼科
- 医学案例报告 病例报告
背景情况:
- 多发白点综合征 (MEWDS) 是一种罕见的炎症状况,影响视网膜.
- 状新血管化 (CNV) 是视网膜下血管的异常生长,通常与与年龄相关的黄斑变性相关.
研究的目的:
- 为了记录一例儿童患者中与MEWDS一起发生的CNV病例.
- 调查这种罕见的协会的临床表现和诊断结果.
主要方法:
- 一个案例报告描述了一个13岁的孩子有视力障碍.
- 诊断评估包括 fundus 检查,血管造影和光学连贯性断层扫描 (OCT).
主要成果:
- 这位患者出现了视力模糊和脑下腺白点,表明了MEWDS.
- 鉴定出了一种与CNV一致的缩性黄斑病变.
- 图像检测证实了MEWDS,但用内抗血管内皮生长因子 (抗VEGF) 治疗的改善不大.
结论:
- 这一案例凸显了儿童中CNV和MEWDS类反应之间的潜在关联.
- 病因仍然不清楚,这是儿科炎症性眼病中常见的挑战.
- 长期监测对于了解疾病进展至关重要.
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