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題名 | Uveal Effusion in a Patient Receiving Peripheral Blood Stem Cell Transplantation--A Case Report=一位周邊血液幹細胞移植患者發生葡萄膜滲漏--病例報告 |
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作者姓名(中文) | 洪國哲; 楊怡君; 李安斐; 李鳳利; 李淑美; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 53:1 2014.04[民103.04] |
頁次 | 頁55-59 |
分類號 | 416.74 |
關鍵詞 | 周邊血液幹細胞移植; 葡萄膜滲漏; Uveal effusion; Peripheral blood stem cell transplantation; |
語文 | 英文(English) |
中文摘要 | 報告一位周邊血液幹細胞移植患者發生葡萄膜滲漏。方法:病例報告。結果:一位患有嚴重再生不良性貧血的47歲女性,在接受無血緣捐贈之周邊血液幹細胞移植後,發生移植物對抗宿主疾病造成的腹瀉,而接受methylprednisolone及cyclosporine治療。十天後,她感到雙眼視力模糊。眼底檢查發現雙眼有視網膜微小血管病變及巨細胞病毒視網膜炎。此外,雙眼亦出現漿液性視網膜剝離,且間接眼底鏡檢查很容易就看到鋸齒緣。B-scan超音波可見瀰漫性脈絡膜增厚及隆起。因此臆斷為葡萄膜滲漏。結論:葡萄膜滲漏為周邊血液幹細胞移植的併發症之一。產生的原因可能為發炎過程所造成。 |
英文摘要 | To present a case of uveal effusion in a patient receiving peripheral blood stem cell transplantation (PBSCT). Methods: Case report. Results: A 47-year-old woman who developed graft-versus-host diseaserelated diarrhea after receiving unrelated donor PBSCT for severe aplastic anemia was treated with methylprednisolone and cyclosporine. Ten days later, she noticed blurred vision in both eyes. Fundus examination revealed retinal microangiopathy and cytomegalovirus retinitis lesion OU. Moreover, serous retinal detachment was also noted, and ora serreta could be easily seen by indirect ophthalmoscopy. B-scan ultrasonography revealed diffuse choroidal thickening and elevation OU. Uveal effusion was impressed. Conclusions: Uveal effusion is one of the complications of PBSCT. It may be related to inflammatory process. |
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