带有多炎的粒状瘤,呈现为无眼口疼痛
Lyvia J Zhang1, Nita Bhat1, Justin Houts1
1Department of Ophthalmology and Visual Sciences, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Orbit (Amsterdam, Netherlands)
|January 7, 2026
概括
带有多叶膜炎 (GPA) 的粒状瘤可以引起眼口腔疼痛,即使没有典型的炎症. 及时诊断和治疗GPA解决了患者持续的口疼痛,突出了其在差异诊断中的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 系统性血管炎是什么
背景情况:
- 眼睛和轨道表现在多炎 (GPA) 的粒状瘤中很常见.
- 无眼口腔疼痛可能会使人虚弱,并且难以诊断.
- 以前的轨道创伤可能会使口疼痛的差异诊断复杂化.
研究的目的:
- 报告一个异眼口疼痛的病例,该病例是多炎 (GPA) 带来的粒状瘤的次要病例.
- 强调在对持续的眼口腔疼痛的差异诊断中考虑GPA的重要性,即使没有特征性迹象.
主要方法:
- 一个患有双边眼瘤的病人的病例报告,呈现出耐火的左口疼痛.
- 由于先前的轨道骨折,考虑了轨道神经疼痛的初步诊断.
- 通过在肺炎诊断后的全身检查来确立GPA的诊断.
主要成果:
- 患者经历了几周的左痛,对止痛药和口服类固醇无反应.
- 图像检测显示没有围绕轨道炎症或轨道病变.
- 在开始全身治疗GPA后,口疼痛完全消失.
结论:
- 带有多叶膜炎 (GPA) 的颗粒瘤应该被纳入眼口腔疼痛的差异诊断.
- 周围轨道炎症或轨道病变的缺失并不排除GPA是口疼痛的原因.
- 对GPA的系统治疗导致了耐火性眼球口疼痛的解决.
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