在患有急性类风湿性发烧的儿童中获得的棕色综合征
Elishai Assayag1, Hashem Totah1, Elena Drabkin1
1Department of Ophthalmology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
European journal of ophthalmology
|December 1, 2023
概括
获得的布朗综合征 (ABS) 是一种罕见的眼动障碍,可在患有急性类风湿性发烧 (ARF) 的儿童中表现出来. 及时诊断和皮质类固醇治疗使一个患有这种罕见疾病的9岁女孩完全康复.
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:
- 急性类风湿性发烧 (ARF) 是继 estreptococcal 感染后的一种炎症性疾病.
- 获得的布朗综合征 (ABS) 是一种罕见的疾病,影响眼睛运动,通常是由于三眼膜异常.
- ARF和ABS之间的关联是非常罕见的.
研究的目的:
- 报告一种罕见的获得布朗综合征 (ABS) 病例,该病例发生在急性类风湿性发烧 (ARF) 的背景下.
- 要突出临床表现,诊断发现和成功管理这种罕见的协会.
主要方法:
- 一个9岁女孩被诊断患有ARF的病例报告.
- 临床检查和成像 (暗示MRI或超声波) 来评估眼睛的运动性和三角膜结构.
- 用全身抗生素治疗,用于ARF的NSAIDs,随后为ABS注射区域性皮质类固醇.
主要成果:
- 该患者在ARF诊断后出现了ABS症状,包括垂直双眼视和眼睛运动受限.
- 图像检测证实了厚化的三叶-上斜综合体,表明了三叶炎.
- 在注射皮质类固醇后一个月内成功消除ABS症状.
结论:
- 获得的布朗综合征是急性类风湿性发烧的罕见但潜在的眼科表现.
- 在这种情况下,早期识别和有针对性的治疗,如皮质类固醇注射,可以有效地管理ABS.
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