作为混合表型急性白血病的第一个表现,急性单边视力损失是急性视力损失的第一个表现
Chelsea Tse Woon Ong1, Huiling Huang2, Choon Peng Jeremy Wee2
1Singapore General Hospital, Singhealth, Singapore, Singapore. chelsea.ong@mohh.com.sg.
International journal of emergency medicine
|July 17, 2025
概括
中央视网膜动脉封闭 (CRAO) 通常源于动脉样硬化. 这个案例突出了CRAO在一个年轻的男性引起的高粘度综合征,混合表型急性白血病的早期迹象,强调迅速诊断的视力保护.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 紧急医疗 紧急医疗
背景情况:
- 中央视网膜动脉封闭 (CRAO) 通常与血栓栓塞事件和动脉样硬化有关.
- 不典型的CRAO原因需要彻底调查,特别是在年轻人群中.
研究的目的:
- 报告一个年轻男性罕见的CRAO病例.
- 为了确定二次的混合表型急性白血病的高粘度综合征作为CRAO的潜在原因.
- 为了强调在紧急医疗中识别不寻常的CRAO表现的重要性.
主要方法:
- 病例报告详细介绍了一个年轻的男性患者出现了突然的,无痛的视力丧失.
- 诊断工作包括眼科检查,血液检查和相关成像.
- 鉴定高粘度综合征和混合表型急性白血病.
主要成果:
- 患者提出CRAO作为超粘度综合征的初始表现.
- 混合表型急性白血病被诊断为超粘度综合征的潜在原因.
- 患者的病情需要紧急管理,以防止进一步的视力丧失.
结论:
- 超粘度综合征可以不典型地呈现为CRAO,即使在年轻人中也是如此.
- 紧急医生必须在CRAO的差异诊断中考虑血液恶性瘤,特别是在非动脉样硬化病例中.
- 及时诊断和干预对于在这种罕见的呈现中获得视觉结果至关重要.
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