一个中年亚洲患者的石灰症:一个不寻常的导致盘子胀的原因
Yunqi Koh1, P S Pandiyan1, Chee Fang Chin1
1Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group Eye Institute, Singapore, Singapore.
Neuro-ophthalmology (Aeolus Press)
|March 7, 2025
概括
一种罕见的疾病 - - 石灰症 (calciphylaxis) 可能会导致缺血性视神经病变,原因是视网膜中枢动脉化. 这一案例凸显了在患有高血症和视力丧失的患者中怀疑血症的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 皮肤病学 皮肤病学
背景情况:
- 石灰是一种罕见的疾病,其特点是血管化和皮肤亡.
- 缺血性视神经病变 (ION) 是一种潜在的并发症,虽然很少见,但是视网膜中枢动脉化的次要.
- 巨细胞动脉炎 (GCA) 是急性视力丧失与视觉盘胀的差异诊断.
研究的目的:
- 报告一种罕见的,呈现为缺血性视神经病变的石灰.
- 强调在患有急性视力丧失呈现高血症的危险因素的患者中考虑化疗的重要性.
主要方法:
- 一个56岁的女性患有末期功能衰竭的案例介绍.
- 临床检查显示了急性,无痛的视力丧失和光盘胀.
- 诊断程序包括动脉活检和下肢病变的皮肤活检.
主要成果:
- 患者出现了单边视力丧失和特征性的视觉盘白和胀.
- 巨细胞动脉炎的典型特征是没有的.
- 皮肤活检的组织病理学发现与石灰相一致.
结论:
- 在缺血性视觉神经病变的差异诊断中,应考虑calciphylaxis,特别是在末期脏病和高血症患者中.
- 这一案例凸显了需要一个超出典型表现的高指数的怀疑calciphylaxis的需要.
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