类风湿所致周边角膜融解综合征一例
摘要
男性,69岁。因双眼红、痛伴异物感1个月余在当地医院诊为"双眼免疫性角膜炎",行左眼病灶切除联合羊膜移植术,术后双眼点抗生素、皮质类固醇、抗免疫排斥眼液,口服皮质类固醇2周,剂量递减。术后5个月来北京同仁医院眼科,查视力右眼0.8,左眼眼前光感;左眼角膜中央白斑,周边多处穿孔,部分虹膜嵌顿(图1A);右眼5点到9点颞侧角膜缘可见潜掘性溃疡至后弹力层(图1B),角巩膜缘可见新生血管。全身查体:右手指尺侧偏斜.
出处
《眼科》
CAS
CSCD
2018年第2期159-160,共2页
Ophthalmology in China
二级参考文献16
-
1Arnett FC, Edwoethy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis [J]. Arthritis Rhem, 1988, 31:315-324.
-
2Den Broeder AA, van den Hoogen FH, van de Pulle LB. Isolated digital vasculilis in a patient with rheumatoid arthritis: good response to lumom necrosis factor alpha blocking Vealmenl [J]. Ann Rheum Dis, 2001, 60:538-539.
-
3Venables PJW, Erhardt CC, Maini RN. Antibodies to extractable nuclear antigens in rheumatoid arthritis: relationship to vasculitis and circulating immune complexes [J]. Clin Exp Immunol, 1980, 39:146-153.
-
4Soyfoo MS, Couturier B, Cogan E. Cryofibrinogenaemia with vasculitis: a new overlap syndrome causing severe leg ulcers and digital necrosis in rheumatoid arthritis? [J]. Rheumatology, 2010, 49:2455-2457.
-
5Sayah A, English JC 3rd. Rheumatoid arthritis: a review of the cutaneous manifestations [ J]. J Am Acad Dermatol, 2005, 53 : 191-209.
-
6Harrison BJ. Influence of cigarette smoking on disease outcome in rheumatoid arthritis [ J]. Curr Opin Rheumalol, 2002, 14:93-97.
-
7Garcia-Porrua C, Gonz6lez-Gay MA. Successful treatment of refractory mononeuritis multiplex secondary to rheumatoid arthritis with the anti-tumour necrosis factor ct monoclonal antibody infliximab [ J]. Rheumatology, 2002, 41:234-235.
-
8Unger L, Kayser M, Ntisslein HG. Successful treatment of severe rheumatoid vasculitis by infliximab [ J ]. Ann Rheum Dis, 2003, 62:587-588.
-
9Thirion L, Picard D, Mejjad O, et al. Cutaneous vasculitis with necrotic ulcers in rheumatoid arthritis: treatment with anti-TNFalpha [J]. Ann Dermatol Venereol, 2006, 133:453-455.
-
10Zandavalli FM, de Castro GR, Mazzucco M, et al. Infliximab is effective in difficult-to-control peripheral ulcerative keratitis. A report of three cases [ J]. Rev Bras Reumatol, 2015, 55: 310-312.
共引文献2
-
1张金山,张方园,阮丽萍,王青松.基于“虚实理论”探讨60例RA患者免疫炎症指标及关节外部位受累规律[J].中医药临床杂志,2017,29(8):1147-1149.
-
2乔友珍,王春燕,马宁宁,高佳,郝佳瑶,沈海丽.类风湿性血管炎2例并文献复习[J].风湿病与关节炎,2021,10(10):27-30.
-
1郭娟莉,赵永红,寇鹏涛.多阶段窄谱中波紫外线治疗白癜风的效果分析[J].安徽医学,2017,38(11):1482-1484. 被引量:5
-
2稚趣家.宝宝脸上有“白斑” 需要吃驱虫巧克力吗?[J].时尚育儿,2018,0(4):20-21.
-
3王锦波,王雁,齐庆安.肝癌原位肝移植术后10年盆腔转移1例[J].人民军医,2018,61(2):167-168.
-
4佚名.吞咽有异常 当心食管癌[J].保健与生活,2018,0(10):62-62.
-
5秦艳莉,王晓虹,丁琳.新疆儿童眼球穿孔伤病例临床分析[J].中华眼外伤职业眼病杂志,2018,40(4):309-311.
-
6叶向彧,王艳,胡颖峰,张嵘.兔眼角膜后弹力层撕除角膜内皮移植术后排斥反应的研究[J].眼科新进展,2017,37(12):1123-1126. 被引量:1
-
7张琳琳.超声乳化白内障摘出并人工晶状体植入术后发生角膜水肿的影响因素回顾性分析[J].当代医学,2018,24(1):123-125. 被引量:14
-
8杨友华.以扁桃腺转移为首发症状的肝细胞肝癌1例报道[J].肿瘤,1983,7(3):110-110.
-
9赵汝珠,张林彤,朱麦俊,王守兰,苏增贵,刘恭芳.睾丸女性化患儿的卵巢移植[J].中华小儿外科杂志,1987,0(6):351-352. 被引量:1
-
10王月晨.角膜特大型老年环1例[J].美中国际眼科杂志,2001,1(1):105-105.