概括
偏中心急性中病 (PAMM) 是登革热的一种罕见并发症. 这个案例突出了PAMM.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 偏中心急性中间斑点病变 (PAMM) 的特征是光学连贯断层 (OCT) 上的内核层 (INL) 中的超反射带.
- PAMM的症状包括视力模糊和偏中心视瘤,通常与视网膜血管或系统性疾病有关.
- 登革热的眼部并发症是多样化的,但很少报告PAMM.
研究的目的:
- 介绍一位患有登革热后PAMM的患者的临床和OCT发现.
- 调查登革热感染与PAMM之间的潜在联系.
- 提高眼科医生对这种罕见的差异诊断的认识.
主要方法:
- 一个33岁的男性患有登革热的病例报告.
- 临床检查包括视力敏度,裂纹灯和扩张 fundus 的评估.
- 光学连贯断层扫描 (OCT) 来评估视网膜层和识别PAMM特征.
- 用口服普雷迪尼索隆治疗和对症状和视力敏度的监测.
主要成果:
- 患者呈现出登革热,血栓缩以及随后的视觉症状.
- 海外国土发现了内核和内层的超反射性,与PAMM一致.
- 用普雷迪尼索隆治疗导致症状改善,并在七天内增加视力敏度.
- 视网膜病变和视网膜内部超反射性显示出显著的减少.
结论:
- 登革热可能是偏中心急性中间黄斑病变 (PAMM) 的原因.
- 登革热引起的炎症或血液度可能会损害深层毛细血管 (DCP),导致缺血和PAMM.
- 眼科医生应考虑在登革热患者出现视力障碍的患者中进行PAMM,并使用OCT进行诊断.
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