患有急性水感染的6岁儿童中视网膜中枢动脉堵塞:一个病例报告

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Dunja Bajtl^1,2, Tvrtka Benašić^1,2, Jelena Petrinović-Dorešić³

¹University Eye Department, University Hospital Centre Osijek, 31000 Osijek, Croatia.

Journal of clinical medicine

|December 30, 2025

概括

中央视网膜动脉堵塞 (CRAO) 在儿童中很少见. 这一病例突出了与急性水感染和短暂抗脂抗体升高相关的儿科CRAO.

科学领域:

眼科医生眼科眼科
儿科儿科儿科
血液学血液学血液学

背景情况:

中央视网膜动脉阻塞 (CRAO) 是由血管阻塞引起的眼科紧急情况,通常与高凝血状态,炎症或血管炎有关.
虽然CRAO可以发生在儿童身上,但很少见,儿科病例通常具有可识别的原因.

研究的目的:

报告儿童中首例CRAO病例,该病例与急性水感染和暂时抗脂抗体 (aPL) 升高有关.
讨论病毒感染,aPL和儿科CRAO之间的潜在联系.

主要方法:

一个案例展示了一个六岁的女性在左眼突然视力丧失.
进行了眼科,实验室和仪器检查.
实验室测试包括D-二聚体,IgM抗心素抗体和IgG抗β-2糖蛋白-1抗体.

主要成果:

这名患者被诊断为左侧CRAO,其次是天花和发烧.
观察到D-二次体,IgM抗心素抗体和IgG抗β-2糖蛋白-1抗体的暂时升高.
尽管使用类固醇,抗病毒药物,抗生素和抗凝固剂进行治疗,但视觉结果很差.

结论:

这是首次报告的儿科CRAO病例,与急性水和短暂的aPL升高有关.
这些发现表明,水感染,过渡性aPL和儿童的CRAO之间可能存在病因联系.
需要进一步的研究来了解这种关联的机制和影响.

关键词:

抗体是一种抗体.抗心脂素是一种抗心脂素.中央视网膜动脉封闭闭塞这就是水.孩子孩子孩子孩子孩子孩子

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