打开VKC:性别和年龄如何影响临床图像
Gaurav Chauhan1, Suhita Mathimaaran1, Ambika Chandrasekar2
1CJ Shah Cornea Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
成年开始的春季角膜炎 (VKC) 与儿童开始的VKC呈现不同,尽管两者都显示男性占主导地位. 成人VKC有较轻的过程和明显的并发症,如肢体干细胞缺乏.
科学领域:
- 眼科医生 眼科 眼科
- 过敏性眼病 过敏性眼病
背景情况:
- 春季角膜结膜炎 (VKC) 是一种双边,发和炎症性眼表面疾病.
- 风性结核通常影响儿童和青少年,但成人发病例越来越多.
研究的目的:
- 调查儿童发病的VKC (C-VKC) 和成人发病的VKC (A-VKC) 的性别差异.
- 为了比较C-VKC和A-VKC患者组之间的临床变异.
主要方法:
- 从2015年1月到2020年12月,对1018名VKC患者进行了回顾性观察性研究.
- 患者根据发病年龄分类:<16岁 (C-VKC) 和>16岁 (A-VKC).
- 分析包括性别,家族病史,并发症,VKC变种,严重程度和并发症.
主要成果:
- 在C-VKC和A-VKC中都观察到男性占主导地位,在A-VKC中比例略低.
- 喘在C-VKC中更常见,而皮肤过敏在A-VKC中更为普遍.
- 在A-VKC中,淋巴干细胞缺陷显著更高,而C-VKC显示出更多的多重并发症和手术干预.
结论:
- 成人发病的VKC是一种独特的实体,其临床过程通常比C-VKC温和.
- 在A-VKC的临床表现或并发症中没有发现基于性别的显著差异.
- 淋巴干细胞缺乏是A-VKC的一个显著并发症,不论性别.
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