在小儿病患者中推测双边急性异常性黄斑病变
Marc Ohlhausen1, Nam V Nguyen1,2, Timothy Kaftan1,2
1Department of Ophthalmology, Stanley M. Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, USA.
American journal of ophthalmology case reports
|January 13, 2025
概括
本病例报告详细介绍了一例罕见的儿童双边急性异常性黄斑病 (AIM) 病例,强调在患有视力障碍的儿科患者中考虑AIM的重要性,特别是在类似流感的症状后.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 传染性疾病 传染性疾病
背景情况:
- 急性异常性黄斑病 (AIM) 是一种罕见的疾病,影响中央视力.
- 儿科患者的诊断不常见,并且往往具有挑战性.
- 快速识别和管理对于视觉结果至关重要.
研究的目的:
- 描述一个儿科病人的疑似双边急性异常性黄斑病 (AIM) 的罕见病例.
- 突出儿童AIM的临床表现和诊断考虑因素.
主要方法:
- 一个11岁的男孩突然失明的案例报告.
- 多模式成像包括光学连贯断层扫描 (OCT).
- 实验室工作,包括紫外炎和病毒抗体标位.
主要成果:
- 患者在一只眼睛出现了严重的视力损失,进展到双侧卷入.
- 海外国与地区发现了典型的RPE不规则性和下液.
- 增加的Coxsackie B3抗体标位支持了AIM的推定诊断.
结论:
- 这一案例强调了在患有急性视力丧失的儿科患者中考虑AIM的重要性.
- 一种预发性类似流感的疾病可能与AIM有关.
- 及时诊断和管理,包括皮质类固醇和免疫调节疗法,至关重要.
更多相关视频
07:50A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
15.8K
10:14Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
Published on: May 26, 2023
3.0K
相关概念视频
Lethal Alleles
Agouti: A Lethal Allele
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Abnormal Proliferation
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Abnormal Proliferation
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Jaundice
Jaundice, or icterus, is the yellow discoloration of the skin, sclerae, and mucous membranes. It happens when plasma bilirubin levels rise above 2.5-3 mg/dL, leading to bilirubin deposition in tissue.Bilirubin is a byproduct of hemoglobin degradation. In macrophages, hemoglobin breaks down into globin and heme. Globin is converted into amino acids, while heme is turned into biliverdin by heme oxygenase, which is then reduced to unconjugated bilirubin by biliverdin reductase.Unconjugated...
