在mpox疫苗接种后出现的急性后部多焦点斑块性表皮病状炎
Lucy M Lu1,2, Priya D Samalia1,3,4, Rachael L Niederer1,2
1Department of Ophthalmology, Te Whatu Ora Te Toka Tumai/Health New Zealand Auckland, Auckland, New Zealand.
Ocular immunology and inflammation
|September 4, 2025
概括
在mopox疫苗接种后发生了一例罕见的急性后部多焦点色素表皮病变 (APMPPE) 类型的帕努韦炎. 症状随着皮质类固醇治疗而消失,突出显示可能与疫苗相关的眼部并发症.
科学领域:
- 眼科 眼科
- 疫苗学
- 免疫学
背景情况:
- 对于公众健康而言,Mpox疫苗接种,尤其是JYNNEOS疫苗接种,至关重要.
- 眼部炎症可能有不同的病因.
- 与疫苗相关的各种不良事件正在不断记录.
研究的目的:
- 记录和描述一种与疫疫苗接种后急性后部多焦点斑块性表皮病 (APMPPE) 相似的独特病例.
- 调查mopox疫苗接种与这种特定的眼部炎症表现之间的潜在联系.
主要方法:
- 使用案例报告的方法.
- 详细介绍了临床表现,多模式成像 (包括OCT和底部自光),并排除了传染性/ 系统性原因.
- 对皮质类固醇的治疗反应进行了监测.
主要成果:
- 在JYNNEOS mpox疫苗接种两周后,一名37岁的男性出现了双边卵膜炎,视网膜血管炎和单边APMPPE样特征.
- 排除了传染性和全身性炎症病因.
- 患者使用局部和全身皮质类固醇显著改善,在9个月内没有复发.
结论:
- 急性后部多焦点色素表皮病 (APMPPE) 类似于眼膜炎是mopox疫苗接种后可能出现的,尽管很少见的眼部并发症.
- 眼科医生和医疗保健提供者应考虑在接种疫苗后出现类似的脑膜炎症状的患者进行这种诊断.
- 及时诊断和使用皮质类固醇的治疗可以带来有利的视觉结果.
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