- 期刊
巨大細胞動脈炎之眼科臨床表徵－兩病例報告
Ophthalmic Manifestations of Giant Cell Arteritis - Two Cases Report
摘要
我們報告兩個老年女性均以視力突然模糊為表現的巨大細胞動脈炎。雙眼在兩星期內均受到侵犯：一例以兩側中心視網膜動脈阻塞表現，另一例以單側中心視網膜動脈阻塞及對側缺血性視神經病變為表現，且兩例視力皆嚴重受損。臨床上，兩者均有升高的紅血球沉降係數，且都接受過單側顳動脈切片。一例病程進展迅速，雖接受大量類固醇治療，仍因脊椎基底動脈系統受侵犯而不治死亡。一例除了眼科徵狀外，無身體其他表現。前者顳動脈切片無特別發現，後者顳動脈切片為典型血管炎變化。
關鍵字
無資料並列摘要
Two elderly women had catastrophic visual loss due to giant cell arteritis. The other eyes of both were attacked within two weeks. Bilateral central retinal artery occlusion, negative temporal artery biopsy and relentless nature course were noted despite treatment with a high dose of corticosteroid in one case. Unilateral central retinal artery and ischemic optic neuropathy were noted in the other case with typical pictures in temporal artery biopsy.
延伸閱讀
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