一个与VEXAS综合征相关的光盘胀的新案例
Mary A Gao1, Tianyu Liu2, Sandeep Randhawa2
1Department of Ophthalmology, Corewell Health Taylor Hospital, Taylor, MI, USA.
Journal of vitreoretinal diseases
|July 14, 2025
概括
维克萨斯综合征是一种罕见的疾病,可导致视盘胀和出血,影响视力. 及时诊断和增加免疫抑制治疗导致了这个病例的解决.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 遗传学 遗传学 是一个
背景情况:
- 维克萨斯综合征 (VEXAS综合征,E1酶,X链接,自身炎症,体质) 是一种成人发病的自身炎症性疾病.
- 维克萨斯综合征的眼部表现越来越多地被认可,但尚未完全表征.
- 光盘是潜在的,尽管很少见,系统性炎症的迹象.
研究的目的:
- 报告与VEXAS综合征相关的光盘的新病例.
- 扩大对维克萨斯综合征中的眼睛表型的理解.
- 在全身炎症的背景下,强调光盘的诊断考虑.
主要方法:
- 采用了单个案例研究设计.
- 记录了临床表现,诊断工作和治疗反应.
- 眼科检查发现,包括视盘胀和出血,详细说明.
主要成果:
- 一名77岁的男性最初被诊断患有复发性多重合体炎,出现视盘胀和出血.
- 随后对维克萨斯综合征的诊断得到证实.
- 在免疫抑制疗法升级后,眼部症状得到缓解.
结论:
- 光盘是VEXAS综合征的一个潜在的眼部表现.
- 早期识别和适当管理VEXAS综合征对于预防视力威胁并发症至关重要.
- 这一案例凸显了VEXAS综合征中表现的多样性.
相关概念视频
Glaucoma: Overview
775
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
775
Open Angle Glaucoma: Treatment
579
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
579
Angle Closure Glaucoma: Treatment
697
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
697
Photoreceptors and Visual Pathways
6.5K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.5K
Vascular Spasm
1.9K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.9K


