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題名 | 硬皮症合併全身紅斑性狼瘡與眼底疑似色素性視網膜炎的眼睛表現--病例報告=Ocular Findings of Suspected Retinitis Pigmentosa in PSS Associated with Systemic Lupus Erythematosus--A Case Report |
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作者 | 郭千能; 郭明倫; 郭錫恭; 鄧美琴; Kuo, Chein-neng; Kao, Min-lun; Kou, His-kung; Teng, Mei-chung; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 20010600 |
卷期 | 40:2 2001.06[民90.06] |
頁次 | 頁184-192 |
分類號 | 416.746 |
語文 | chi |
關鍵詞 | 全身紅斑性狼瘡; 色素性視網膜炎; 全身性硬皮症; Scleroderma; Systemic lupus erythematous; Retinitis pigmentosa; Sclerolupus; |
中文摘要 | 目的:介紹一位三十歲女性,漸進全身性硬皮症合併全身紅斑性 狼瘡病變,眼底疑似色素性視網膜炎變化的病例。方法:單一病例報告結果:此漸進全身性 硬皮症合併全身紅斑性狼瘡病變的病例, 外眼部呈現眼球移動受限制合併輕微外斜視 (<5 ° )、 眼皮張力不不易撐開、 但尚能完全閉合、 眼窩芎窿變淺、 疑似結膜上皮下纖維化 (conjunctival subepithelial fibrosis) 以及乾眼症。在眼底發現雙眼之視神經盤充血與 水腫,視網膜動脈變細和視網膜骨刺色素變化。螢光血管攝影顯示脈絡膜及視網膜血管填充 皆有延遲現象,視網膜色素上皮空窗效應以及螢光染劑從水腫的視神經盤溢漏。結論:針對 此一漸進全身性硬皮症合併全身紅斑性狼瘡病變,眼底又有疑似色素性視網膜炎變化的病例 ,在文獻上甚少發表,特提出報告。 |
英文摘要 | Purpose:To reprt a case with unusual manifestations of atypical retinitis pigmentosa in "Progressive systemic scleroderma" and "Systemic lupus erythematosus". Methods: A case report. Results:A 30-years-old woman with no significant family history was diagnosed "Progressive systemic scleroderma" by biopsy improved for almost 14 years by dermatologists and "Systemic lupus erythematosus" impressed for 6 years by rheumatologists. Constricted visual field, limited external ocular movement progressively and slightly exotropia (<5) were noted for recent 2 years. Visual acuity was 0.6 in right eye and 0.5 in left eye. Fundus showed arteriolar attenuation, retinal bone-spicule with fine dust-like pigments and hyperemic change of optic disc. Goldman visual field revealed Peripheral visual field defect and residual central island vision (ou). Fluorescein angiography showed delayed choroidal and retinal filling, retinal pigment epithelial window defect and leakage of dye from swelling optic disc. Conclusion:The specific finding of this patient who is noted of suspected "Retinitis pigmentosa" and "Progressive systemic scleroderma associated with Systemic lupus erythematosus" concomitantly may be different from previous studies, so we present it. |
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