未识别的慢性髓性白血病表现为多发性糖尿病视网膜病变中的出血并发症:一个病例报告
Shreeya Hinge1, Shivraj Tagare2, Manavi D Sindal2
1Postgraduate, Aravind Eye Hospital, Pondicherry, India.
European journal of ophthalmology
|April 15, 2025
概括
这一案例突显了增殖性糖尿病视网膜病变 (DR) 和慢性髓性白血病 (CML) 之间的联系. 像罗斯斑点这样的眼部征兆可能是潜在的CML的信号,即使最初的血细胞计数正常.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 医学案例研究 医学案例研究
背景情况:
- 糖尿病视网膜病变 (DR) 是糖尿病的一个常见并发症.
- 慢性髓性白血病 (CML) 是一种骨髓增殖性瘤.
- 随着DR和CML的同时出现,诊断面临着挑战.
研究的目的:
- 呈现出一个由未诊断的慢性髓性白血病 (CML) 复杂的增殖性糖尿病视网膜病变 (DR) 的病例.
- 强调识别CML微妙眼部表现的重要性.
主要方法:
- 一个患有多发性DR的糖尿病患者的病例报告.
- 眼底光血管造影以评估视网膜血管变化.
- 血液学评估显示晚期CML诊断.
- 包括玻璃切除术和油注射在内的外科手术.
主要成果:
- 患者呈现出增殖性DR和玻璃体出血.
- 最初的血液学检测结果正常,但后来发现白细胞症和CML诊断.
- 在CML治疗和手术管理后,眼部状况稳定.
结论:
- 微妙的眼部发现 (罗斯斑,新血管) 可以表明DR患者的共存CML.
- 正常的初始血细胞计数可以掩盖CML诊断.
- 跨学科的合作对于涉及DR和CML的复杂病例的管理至关重要.
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