在COVID-19后的双边大脑膜炎:两例病例的报告
Doğukan Cömerter1, Feyza Rümeysa Öz1, Eyüp Düzgün1
1Department of Ophthalmology, Sultan Abdülhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Romanian journal of ophthalmology
|November 5, 2025
概括
两例病例表明,SARS-CoV-2感染可能会引发罕见的炎症性眼病 - - 抗原性胆管炎. 这一发现将COVID-19与易感个体的白点综合征联系在一起,突出了眼睛炎症的潜在免疫原触发因素.
科学领域:
- 眼科医生 眼科 眼科
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 腹膜性胆道炎是一种炎症性眼部疾病,具有急性后部多焦点斑块性色素表皮病和脑膜性胆道炎的特征.
- 眼部炎症疾病可以由病毒感染引发,特别是在具有潜在倾向的个体中.
研究的目的:
- 为了呈现两例强原性胆管炎.
- 调查SARS-CoV-2作为眼部炎症免疫性触发物的潜在作用.
主要方法:
- 病例报告两名患者被诊断出患有大发性胆管炎.
- 多式成像包括光学连贯断层扫描, fundus 自流光和 fundus 光血管学.
- 对患者病史的审查,重点关注最近的COVID-19感染.
主要成果:
- 这两名患者均呈现出特征性 fundus 发现和多式成像结果,表明是 ampiginous 胆管炎.
- 这两名患者最近有COVID-19感染史.
- 在这两位患者中,已开始或继续使用口服类固醇和阿扎西奥普林治疗.
结论:
- SARS-CoV-2 感染可能会作为免疫原性触发器,用于发展或重新激活安皮基诺斯胆管炎.
- 易患白点综合征的个体可能在COVID-19后面面临较高的眼球炎症风险.
- 需要进一步的研究,以了解病毒感染和炎症性眼病之间的联系.
关键词:
AC = 强原性胆管炎ACE = 血管素转化酶 = 血管素转化酶ANA = 反核抗体的抗核抗体.APMPPE = 急性后部多焦点斑块性色素表皮病变.BCVA = 最好的校正视力敏度在 COVID-19 疫情中,COVID-19 = 冠状病毒疾病19脑脊液 = 大脑脊髓液.FA = 光素血管图 = 光素血管图FAF = 底部自的自光.LP = 腰部穿刺 = 腰部穿刺磁共振成像 = 磁共振成像 = 磁共振成像海外国家和地区 = 光学连贯性断层扫描.RF = 类风湿性因素这就是SARS-CoV-2病毒.URTI = 上呼吸道感染.aPTT = 激活的部分血栓塑时间.强烈的冠状腺炎.视网膜炎症是一种视网膜炎症.白点综合征是指白点综合征.相关概念视频
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