双边排泄性胆色素变异症在全转网红酸相关的差异化综合征中
Goutham Rajasekar1, Shreyas Temkar1, Arvind Bhargav2
1Department of Ophthalmology, Puducherry, India.
本病例报告详细介绍了一种罕见的眼睛问题,特别是双边排泄性视网膜脱落,在急性肌肉细胞白血病 (APL) 治疗期间出现分化综合征 (DS) 的全身症状之前.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 差异化综合征 (DS) 是急性肌肉细胞白血病 (APL) 治疗的潜在危及生命的并发症.
- 早期识别DS对于及时干预和改善患者结果至关重要.
- 眼部表现的DS是不常见的,但可以显著影响视力.
研究的目的:
- 报告一种罕见的双边排泄性视网膜脱落 (ERD) 病例,作为分化综合征 (DS) 的早期迹象.
- 强调在接受APL治疗的患者眼科评估的重要性.
- 强调需要及时治疗眼部DS,以防止视力丧失.
主要方法:
- 一个案例报告,一名30多岁的女性接受了全转网红酸 (ATRA) 和三氧化的诱导疗法来治疗APL.
- 详细的眼睛检查,包括 fundus 自光和光学连贯性断层扫描.
- 管理涉及暂停ATRA,启动皮质类固醇,并随后重新引入ATRA.
主要成果:
- 患者呈现双边视力模糊和双边多个小,紧密间隔的ERD治疗19天.
- 眼部成像显示了焦点视网膜色素上皮质干扰.
- 用皮质类固醇治疗导致脑下液完全消失,视力完全恢复.
结论:
- 眼部发现,如ERD,可以是DS的早期表现,在系统性症状明显之前,它会出现.
- 在接受ATRA/三氧化治疗的APL患者中,早期的眼科评估至关重要.
- 对眼部DS的及时干预可以保护视力,并允许不间断的白血病治疗.
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