Roth氏斑的臨床意義－病例報告

Clinical Significance of the Roth Spot-Cases Report

葉啓清(Chii-Ching Yeh) ； 蔡瑞庭(Jui-Ting Tsai)

《中華民國眼科醫學會會刊》 28卷2期 (1989/05) Pp. 676-680

https://doi.org/10.30048/ACTASOS.198905.0125

摘要

Roth氏斑又稱中心白點網膜出血，為許多全身性疾病的網膜出血特徵。中心白點的病理變化不一，但從外觀上無法鑑別診斷。除了細菌性栓塞、白血病細胞浸潤造成中心白點出血外，網膜出血後的止血過程中可因血小板－纖維蛋白凝集而形成中心白點。本文報告二病例對Roth氏斑的臨床意義，加以討論。

並列摘要

Roth spot was thought as the specific ocular sign which is specific to infectious endocarditis. The pathogenesis of the white center is versatile. In addition to the septic emboli, leukemic cell infilitration which cause the white center; plateletfibrin aggregation after retinal hemorrhage may be the main cause of the white-centered retinal hemorrhage.

並列關鍵字

Roth spot ； White centered retinal hemorrhage ； Pseudo-Roth spot ； septic emboli ； platelet fibrin aggnegation