呈现为快速扩大的冠状腺质量的多炎的粒状瘤:一个病例报告
Kosuke Aonuma1, Munenari Kondo1, Maki Suzuki1
1Department of Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Cureus
|December 1, 2025
概括
带有多叶膜炎 (GPA) 的粒状瘤可以导致罕见的眼睛问题,模仿瘤. 这种血管炎的早期诊断和治疗导致冠状腺质量的快速改善.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 病理学 病理学 病理学
背景情况:
- 带有多炎 (GPA) 的颗粒瘤病是一种罕见的死性血管炎.
- 眼部表现的GPA是不常见的,冠状腺的参与是极其罕见的.
- 在GPA中的胸膜病变可能会被误认为眼内瘤.
研究的目的:
- 报告一个罕见的眼部表现在GPA的病例.
- 突出诊断挑战和早期系统性评估的重要性.
- 为了强调免疫抑制疗法的有效性,在管理与GPA相关的胆道病变.
主要方法:
- 一个68岁的老妇人有视力障碍的病例报告.
- 诊断成像包括对比度增强CT和FDG-PET.
- 鼻隔膜和支气管活检的组织病理学检查.
- 实验室测试包括CRP和MPO-ANCA.
主要成果:
- 确定了快速扩大的胸腔质量,以及其他系统性发现表明GPA.
- 活检证实了血管炎与血细胞和淋巴细胞透.
- 服用口服普得尼松的治疗导致冠状腺病变的快速回归和MPO-ANCA水平的正常化.
结论:
- 非典型的冠状腺质量可能是GPA的罕见表现征兆.
- 系统性评估至关重要,以避免误诊为恶性瘤.
- 及时的免疫抑制疗法确保了GPA眼部表现的良好结果.
相关概念视频
01:25Glaucoma: Overview
1.2K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.2K
01:27Open Angle Glaucoma: Treatment
934
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
934