在冠状病毒疾病后的青少年中免疫介导的外眼肌炎 2019: 一份病例报告
Yixiang Wu1, Xiao Chen1, Zheng Fan1
1Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye Hospital, China.
The Journal of international medical research
|October 9, 2025
概括
严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 可能导致罕见的,视力威胁的双边外眼肌炎. 及时的皮质类固醇治疗和逐步戒断对于管理这种SARS-CoV-2并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 在SARS-CoV-2感染后,眼部表现很常见.
- 与天然SARS-CoV-2感染相关的双边外眼肌炎很少被记录.
研究的目的:
- 在SARS-CoV-2感染后报告罕见的双边外眼肌炎病例.
- 突出潜在的视力威胁的风险和管理策略的这种情况.
主要方法:
- 一个患有SARS-CoV-2感染的青少年女性的病例报告.
- 临床表现包括眼部不适和视力敏度下降.
- 轨道MRI显示眼外肌肉变厚和眼胀.
- 用高剂量的皮质类固醇治疗和观察反应和复发.
主要成果:
- 患者在SARS-CoV-2确诊后10天出现症状.
- 磁力共振成像证实了双边外眼肌炎.
- 皮质类固醇最初有所改善,但在快速逐渐减少后复发.
- 逐渐的皮质类固醇戒断导致了12个月的缓解和持续缓解.
结论:
- 自然的SARS-CoV-2感染可以引发免疫介导的双边外眼肌炎.
- 这种情况对视力构成重大风险.
- 皮质类固醇是有效的,需要缓慢的逐渐减少计划,以防止复发.
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