复发性多重合体炎呈现为双边急性角关闭:一个不寻常的诊断挑战
Vipin Rana1, Vikas Sharma2, Sandepan Bandopadhyay3
1Department of Ophthalmology, Command Hospital, (Eastern Command), Kolkata, India.
BMC ophthalmology
|December 3, 2025
概括
这种病例突出了复发性多重合体炎 (RP),在典型的软骨症状之前呈现为闭角玻璃眼. 早期识别眼部炎症对于诊断RP至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 医学案例报告 病例报告
背景情况:
- 复发性多合体炎 (RP) 是一种罕见的系统性自身免疫性疾病,影响软骨.
- 眼部RP的表现可能是多样化的,并具有挑战性的诊断.
- 早期识别RP对于有效管理和预防并发症至关重要.
研究的目的:
- 报告一种罕见的复发性多重合体炎病例,最初呈现为双边角闭眼光.
- 要突出RP晚出现的经典特征所带来的诊断挑战.
- 强调在无法解释的眼睛炎症中考虑RP的重要性.
主要方法:
- 一名54岁的男性出现双眼疼痛,眼睛发红和眼内压力升高.
- 诊断工作包括超声波生物显微镜,感染性/自身免疫性评估和氨酸绿色血管学.
- 经过修改的米切特标准被用于诊断在晚期发展的耳部软骨炎后.
主要成果:
- 患者经历了反复出现的双边角关闭和前额膜炎.
- 典型的RP症状,如腹膜炎,表现为晚期.
- 使用高剂量皮质类固醇和阿扎西奥普林观察到临床改善.
结论:
- 这种病例扩大了复发性多重合体炎的临床范围.
- 在患有无法解释的眼部炎症和全身症状的患者中,考虑RP至关重要.
- 早期识别和多学科方法对于管理RP至关重要.
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