疼痛的,温柔的,局部的,异常性直视网膜病变
Yanci A Algarin1, Robert Pariser1
1Dermatology, Eastern Virginia Medical School, Norfolk, USA.
Cureus
|February 15, 2024
概括
本病例报告详细介绍了一例罕见的疼痛性直视网膜炎 (LR) 病例,该病例发生在一名30岁的女性身上. 持续的,局部化的皮肤状况对常见的治疗仍然没有反应,突出显示了诊断和治疗方面的挑战.
科学领域:
- 皮肤病学 皮肤病学
- 血管医学 血管医学
背景情况:
- 视网膜 (Livedo reticularis,简称LR) 是一种血管疾病,导致皮肤呈网状变色.
- 通常与血液流动障碍有关,LR通常没有疼痛.
研究的目的:
- 报告一个独特的病例,疼痛的,局部化的活网状体.
- 突出非典型LR呈现所带来的诊断和治疗挑战.
- 强调需要对LR病理生理学和管理进行进一步研究.
主要方法:
- 一个30岁的女性病例报告,她有哈西莫托甲状腺炎病史,维生素D缺乏,偏头痛和喉.
- 临床表现是痛苦的,位于右侧侧翼的局部直视网膜.
- 诊断工作包括实验室检测,成像和皮肤活检.
- 在13个月内对局部利多卡因,口服止痛药和 gabapentin 的治疗反应的评估.
主要成果:
- 患者出现了持续的,疼痛的直网膜活体.
- 实验室和成像研究显示,没有显著的异常.
- 皮肤活检显示表皮正常.
- 尽管在13个月内考虑了各种治疗措施,但症状仍然稳定.
结论:
- 活体网膜瘤的非典型表现,例如疼痛的存在,可能是复杂的.
- 需要进一步的研究来了解病理生理学,并为具有挑战性的LR病例开发有效的治疗方法.
- 一种多学科的方法可能有利于管理复杂的复杂活体网膜病的患者.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
340
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
340
Abdominal Regions and Quadrants
8.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.2K
Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
Skin Cancer
4.1K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.1K
Restless Leg Syndrome and Night Terrors
177
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
177


