在儿童开始的NMOSD中,首次报告了渐进式多焦点脑白内障
Pakeeran Siriratnam1,2, Simon Gosling3, Maneesh Bhojak4
1Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
概括
渐进性多焦点白内障 (PML) 是一种罕见但严重的脑部感染,可以发生在患有神经omyelitis optica光谱障碍 (NMOSD) 的儿童身上. 这一案例凸显了在患有神经衰退的儿科NMOSD患者中考虑PML的重要性.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 渐进性多焦点白内障 (PML) 在儿科神经炎光学谱障碍 (NMOSD) 中异常罕见.
- 关于儿科NMOSD病例中PML发生的数据有限.
研究的目的:
- 在患有童年发病的NMOSD的患者中记录PML病例.
- 提高儿童NMOSD中这种罕见并发症的认识.
主要方法:
- 使用了一个单一的追溯案例报告.
- 分析了临床表现,治疗和诊断发现.
主要成果:
- 一名17岁的男性患有aquaporin-4抗体阳性NMOSD,在诊断后9年在接受rituximab治疗时发展出PML.
- 症状包括视力损失与CD19重新定居相吻合; 在CSF中检测到JC病毒证实PML尽管复发治疗.
结论:
- PML是儿童发病的NMOSD的潜在并发症,即使使用免疫抑制疗法.
- 在儿科NMOSD中延长的临床疗程和非典型成像证明了JC病毒检测.
- 在NMOSD等慢性复发性疾病中管理免疫抑制需要平衡疗效与并发症风险.
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