一个白血病患者的后部结节性硬化症:一个病例报告
Charifa Moussaddykine1, Laure Van Bol1, Joachim Van Calster2
1Department of Ophthalmology, Erasmus University Hospital, Brussels, Belgium.
Case reports in ophthalmology
|February 11, 2026
概括
这份病例报告详细介绍了一名白血病患者化学治疗后发生的结节性后硬化症 (NPS). 治疗显示眼部发现的部分回归,突出显示需要在免疫受损患者中进行彻底调查.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
背景情况:
- 结节性后硬化症 (NPS) 是一种罕见的炎症性眼病.
- 接受化疗和异种移植的白血病患者容易发生各种并发症,包括眼部炎症性疾病.
研究的目的:
- 在白血病患者中描述一个具有挑战性的结节性后硬化症病例.
- 讨论免疫功能低下个体中NPS的诊断和管理策略.
主要方法:
- 观察情况报告.
- 眼部B模式超声波和脑磁共振成像.
- 玻璃切除术与玻璃组织活检.
- 用局部皮质类固醇,静脉内注射和全身抗生素进行系统性检查和治疗.
主要成果:
- 患者出现了单边视力丧失和疼痛.
- 影像检查显示后部结膜炎与结膜结节,排泄性视网膜脱落 (ERD) 和血清性胆道脱落 (SCD).
- 治疗导致SCD的完全回归和结节和ERD的部分回归.
结论:
- 结节性后硬化可能发生在白血病患者的化学疗法和全移植后.
- 对免疫抑制患者的不确定的病因至关重要,系统性评估和潜在的内切除术与内皮活检至关重要.
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