眼球表现的粒状瘤与多炎呈现为血清性视网膜脱落:一个案例报告
Junwoo Lee1, Jaehwan Choi1, Seung-Young Yu1
1Department of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul 02447, Republic of Korea.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
血清性视网膜脱落 (SRD) 是一种罕见的表现,表现为多炎 (GPA) 带有粒状瘤的胆道干部参与. 这一案例凸显了SRD作为活跃GPA的潜在指标,即使在免疫抑制治疗中也是如此.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 眼睛的干涉是常见的,在多炎 (GPA) 的颗粒瘤.
- 冠状腺干扰,特别是呈现为血清性视网膜脱落 (SRD),是GPA中罕见的发现.
- 这个病例详细介绍了一名新诊断的GPA患者,他出现了眼部症状.
研究的目的:
- 呈现一种血清性视网膜脱落 (SRD) 的病例,其次是多炎 (GPA) 的粒状瘤病例.
- 研究在接受免疫抑制治疗的GPA患者中SRD和疾病活性之间的关系.
主要方法:
- 一个55岁男性的病例介绍,双眼红和疼痛.
- 眼科检查包括裂纹灯和光学连贯性断层扫描 (OCT).
- 审查患者的病史,包括GPA诊断,肺活检和免疫抑制治疗 (类固醇,环素,美酸莫菲提尔,修复药).
主要成果:
- 最初的表现包括双边结膜注射,扩张的脑膜/脑膜血管,前腔细胞,并通过OCT在左眼中确认了SRD.
- 用免疫抑制剂治疗导致SRD和全身症状的改善.
- 疾病的重新激活,由复发的SRD和膨胀的关血管证明,发生在逐渐减少免疫抑制疗法和停止治疗Rituximab时.
结论:
- 在GPA中冠状腺的参与可以表现为血清性视网膜脱落 (SRD).
- SRD可能是活跃GPA的临床征兆,需要密切监测疾病活动.
- 对GPA的管理需要仔细调整免疫抑制疗法,以防止SRD等眼部并发症.
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