格雷夫斯病呈现双边急性疼痛性形,形,眼膜形和视力损失
Lancet (London, England)
|August 25, 1984
概括
非典型的双甲状腺眼病可以模仿中年妇女的轨道细胞炎. 早期的CT扫描和全身类固醇对于及时诊断和预防视力丧失至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
背景情况:
- 双边急性疼痛性,,眼和视力丧失是严重的症状.
- 轨道细胞炎是这些症状的常见初始诊断.
- 非典型的双甲状腺眼病可以呈现类似的情况,但需要不同的管理.
研究的目的:
- 强调在双边急性疼痛性亡病例中考虑非典型的双甲状腺眼病的重要性.
- 为了强调早期轨道CT扫描的诊断价值.
- 为了强调在这种情况下全身类固醇的治疗益处.
主要方法:
- 关于两名中年女性双边急性疼痛性亡的病例报告.
- 初始治疗系统性抗生素,然后进行轨道CT扫描.
- 根据CT发现,用高剂量的全身类固醇替代抗生素.
主要成果:
- 轨道CT扫描显示眼外肌肉膨胀,暗示患有甲状腺疾病的眼睛疾病.
- 患者对抗生素没有反应,但通过全身类固醇显示出快速改善.
- 在随访CT扫描中观察到眼外肌肉尺寸减少.
- 一位患者患上了甲状腺功能低下症,另一位患上了甲状腺功能过高症.
结论:
- 双边急性疼痛性位症需要早期的轨道CT来排除非典型的双甲状腺眼病.
- 及时服用全身类固醇对于防止视神经损伤导致视力损失至关重要.
- 在急性疼痛性亡的差分诊断中,即使没有其他典型症状,也应考虑甲状腺功能失调的眼病.
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