[单侧失明的原因不明,炎症参数正常]
Felix Müller1, Christian Helmut Pfob2, Matthias Wahle3
13. Med. Klinik, Sektion Rheumatologie & Klinische Immunologie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland. felix.mueller@uk-augsburg.de.
Zeitschrift fur Rheumatologie
|June 14, 2024
概括
大血管血管炎 (LVV) 导致患者单方面失明,尽管正常的炎症标志物. 详细的病史和成像证实了这种罕见的LVV诊断,强调了诊断的彻底性.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 血管医学 血管医学
背景情况:
- 单边失明可能源于各种原因,包括栓塞性事件.
- 大血管血管炎 (LVV) 是一种罕见但严重的疾病,影响主要动脉.
- 炎症标志物如C反应蛋白 (CRP) 和红细胞沉率 (ESR) 在LVV中通常升高.
研究的目的:
- 报告一种罕见的LVV引起的单边失明病例.
- 为了突出 LVV 的诊断挑战,当炎症标志物正常时.
- 强调完整的病史和成像在诊断LVV时的重要性.
主要方法:
- 一个70岁的女性突然单边失明的案例介绍.
- 最初的评估包括C反应蛋白 (CRP) 和红细胞沉率 (ESR) 测试.
- 诊断程序涉及详细的病史和先进的成像.
主要成果:
- 患者呈现出右眼的单边失明.
- CRP和ESR水平处于正常范围内,最初表明非动脉动脉栓塞.
- 详细的病史和随后的成像证实大血管血管炎 (LVV) 是病因.
结论:
- 在没有升高的炎症标志物 (CRP,ESR) 的情况下,LVV可以呈现.
- 一个全面的病史对于诊断罕见疾病如LVV至关重要.
- 包括成像在内的有针对性的诊断程序对于在异常呈现时确认LVV至关重要.
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