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題名 | Unilateral Panuveitis and Occlusive Retinal Arteritis in a Patient with Systemic Sclerosis=硬皮症合併單眼全葡萄膜炎及阻塞性視網膜動脈炎 |
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作者 | 林治仁; 張祐誠; 鄭凱駿; 吳文權; Lin, Chih-jen; Chang, Yo-chen; Cheng, Kai-chun; Wu, Wen-chuan; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 20100600 |
卷期 | 49:2 2010.06[民99.06] |
頁次 | 頁248-252 |
分類號 | 416.716 |
語文 | eng |
關鍵詞 | 硬皮症; 葡萄膜炎; 視網膜動脈炎; Occlusive retinal arteritis; Panuveitis; Systemic sclerosis; |
中文摘要 | 目的:敘述一位硬皮症台併單眼全葡萄膜炎及阻塞性視網膜動脈炎的罕見病例。方法:病例報告。結果:一位58歲的女性病人本身有硬皮症,主訴一個禮拜前突然右眼視力模糊,眼底檢查發現視神經盤水腫、小動脈變細並且周遭有滲出物以及視網膜中心有視網膜前以及視網膜內的出血,右眼發現有全葡萄膜炎及阻塞性視網膜動脈炎,病患接受了局部點類固醇藥水及玻璃體內注射類固醇之後,病況漸漸改善,然而一個月後,疾病惡化,因為病患身體狀況不好,無法再進一步接受積極性的治療,因此採用保守療法,追蹤6個月後,玻璃體出血仍然沒有消除。結論:我們報告了硬皮症的病患可能會併發全葡萄膜炎及阻塞性視網膜動脈炎。 |
英文摘要 | Purpose: To describe a rare case of systemic sclerosis associated with unilateral panuveitis and occlusive retinal arteritis. Method: a case report. Result: A 58-year-old woman with underlying systemic sclerosis suffered from sudden onset right blurred vision for 1 week. Fundus examination of right eye revealed disc swelling, attenuated retinal arteries with surrounding transudations, and prominent pre- and intra-retinal hemorrhage mainly in the posterior pole. Panuveitis and occlusive retinal arteritis were also noted in her right eye. She received topical and intravitreal steroids and then the condition improved gradually. However, the disease deteriorated one month later, and we adopted conservative treatment for her due to poor general condition precluding her from aggressive management. During the follow-up period of 6 months, the vitreous hemorrhage was still not resolved. Conclusion: To our knowledge, this is the first report that systemic sclerosis may predispose to unilateral panuveitis and occlusive retinal arteritis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。