肺动脉高血压后出现的重复性偏中心性急性中间性黄斑病:一个病例报告
Akira Tanikawa1, Akane Sobue2, Taku Wakabayashi1
1Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.
Retinal cases & brief reports
|February 27, 2026
概括
偏中心急性中间巨病 (PAMM) 可能表明肺动脉高血压 (PAH). 早期发现PAMM可能会导致早期诊断这种严重疾病,改善患者的治疗结果.
科学领域:
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 肺动脉高血压 (PAH) 的诊断往往会因为需要进行侵入性检测而延迟.
- 早期发现全身性低氧化血症对于管理PAH和预防疾病进展至关重要.
研究的目的:
- 报告与PAH相关的偏中心急性中间巨病 (PAMM) 的病例.
- 调查PAMM作为系统性低氧化症早期指标的潜力.
主要方法:
- 病例报告详细介绍了一个患有复发PAMM的患者.
- 光学连贯断层扫描 (OCT) 用于识别PAMM病变.
- 在三年内进行临床随访,监测视力敏度和全身状况.
主要成果:
- 一名76岁的妇女出现双边视力障碍和PAMM.
- 经常出现的PAMM病变与心肺功能恶化和视力下降相关.
- 家庭氧气疗法阻止了新的PAMM病变的发展,但由于黄斑血管下降而发生了不可逆转的视力丧失.
结论:
- PAMM可能作为一个有价值的眼睛标志,促使早期系统评估PAH等疾病.
- 早些时候识别PAMM可能会导致及时诊断和干预低血症患者.
- 这一案例突显了视网膜发现与全身疾病严重程度之间的联系.
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