Introduction: Central serous chorioretinopathy (CSCR) is associated with serous sensorineural retinal detachment in the macular region. The condition that affects the male gender more than their female counterpart res...Introduction: Central serous chorioretinopathy (CSCR) is associated with serous sensorineural retinal detachment in the macular region. The condition that affects the male gender more than their female counterpart results from focal leakage disturbance of retinal pigment epithelial cells and choroidal abnormalities. The corticosteroid is highlighted as one of the major factors that promote the occurrence of CSCR. Stress and pregnancy, especially in the third trimester, have also been reported by some authors. Central serous chorioretinopathy associated with pregnancy complicated by retroplacental hematoma is a rare event. Observation: We report the case of a pregnant woman at approximately 34 weeks of amenorrhea who presented a sudden and severe drop in visual acuity on a pregnancy complicated by retroplacental hematoma and delivered by cesarean section. The diagnosis was based on clinical arguments associated with photos of the retina made by the MII Ret Cam device (Made In India, Retinoscope Camera) highlighting the lifting of the macular region. Ophthalmological monitoring without medical or physical treatment was instituted. At two months of progression without treatment, bilateral visual acuity was 10/10. Conclusion: Central serous chorioretinopathy and pregnancy is not unusual;however, its bilateral and brutal form in a context of pregnancy complicated by retroplacental hematoma is rare. Despite this favorable evolution, monitoring remains necessary in order to prevent recurrences and complications.展开更多
<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span> Bart’s syndrome is a rare neonatal pathology combining congen</span>...<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span> Bart’s syndrome is a rare neonatal pathology combining congen</span><span>ital skin aplasia affecting the extremities and congenital epiderm</span><span>olysis bullosa, exceptionally described on black skin. </span><b><span>Observation:</span></b><span> A 2-day-old male newborn was referred for multiple ulcerations of the limbs observed at birth. The clinical examination found an absence of bilateral and symmetrical skin occupying almost all of the two lower limbs with some flaccid bubbles. The vascular network was clearly visible. The rest of the skin coating was normal. The diagnosis of Bart syndrome in connection with epidermolysis bullosa was evoked clinically and despite</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span>pediatric and dermatological management</span></span></span><span><span><span>,</span></span></span><span><span><span> the evolution was rapidly fatal by</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span>severe sepsis. </span><b><span>Discussion:</span></b><span> Bart syndrome corresponds to a clinical picture of congenital skin aplasia associated with con</span><span>genital epidermolysis bullosa suspected by areas of fragility an</span><span>d sometimes bubbles. All types of congenital epidermolysis bullosa may be associated with this syndrome. The clinical diagnosis is generally easy but the therapeutic mana</span><span><span>gement is difficult and the prognosis reserved. </span><b><span>Conclusion:</span></b><span> Bart </span></span><span>syndrome is a curious congenital association of well-defined skin symptoms, the etiopathogeny of which still remains poorly elucidated, hence the difficulty of establishing an antenatal diagnostic strategy or giving appropriate genetic advice.</span></span></span></span>展开更多
文摘Introduction: Central serous chorioretinopathy (CSCR) is associated with serous sensorineural retinal detachment in the macular region. The condition that affects the male gender more than their female counterpart results from focal leakage disturbance of retinal pigment epithelial cells and choroidal abnormalities. The corticosteroid is highlighted as one of the major factors that promote the occurrence of CSCR. Stress and pregnancy, especially in the third trimester, have also been reported by some authors. Central serous chorioretinopathy associated with pregnancy complicated by retroplacental hematoma is a rare event. Observation: We report the case of a pregnant woman at approximately 34 weeks of amenorrhea who presented a sudden and severe drop in visual acuity on a pregnancy complicated by retroplacental hematoma and delivered by cesarean section. The diagnosis was based on clinical arguments associated with photos of the retina made by the MII Ret Cam device (Made In India, Retinoscope Camera) highlighting the lifting of the macular region. Ophthalmological monitoring without medical or physical treatment was instituted. At two months of progression without treatment, bilateral visual acuity was 10/10. Conclusion: Central serous chorioretinopathy and pregnancy is not unusual;however, its bilateral and brutal form in a context of pregnancy complicated by retroplacental hematoma is rare. Despite this favorable evolution, monitoring remains necessary in order to prevent recurrences and complications.
文摘<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span> Bart’s syndrome is a rare neonatal pathology combining congen</span><span>ital skin aplasia affecting the extremities and congenital epiderm</span><span>olysis bullosa, exceptionally described on black skin. </span><b><span>Observation:</span></b><span> A 2-day-old male newborn was referred for multiple ulcerations of the limbs observed at birth. The clinical examination found an absence of bilateral and symmetrical skin occupying almost all of the two lower limbs with some flaccid bubbles. The vascular network was clearly visible. The rest of the skin coating was normal. The diagnosis of Bart syndrome in connection with epidermolysis bullosa was evoked clinically and despite</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span>pediatric and dermatological management</span></span></span><span><span><span>,</span></span></span><span><span><span> the evolution was rapidly fatal by</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span>severe sepsis. </span><b><span>Discussion:</span></b><span> Bart syndrome corresponds to a clinical picture of congenital skin aplasia associated with con</span><span>genital epidermolysis bullosa suspected by areas of fragility an</span><span>d sometimes bubbles. All types of congenital epidermolysis bullosa may be associated with this syndrome. The clinical diagnosis is generally easy but the therapeutic mana</span><span><span>gement is difficult and the prognosis reserved. </span><b><span>Conclusion:</span></b><span> Bart </span></span><span>syndrome is a curious congenital association of well-defined skin symptoms, the etiopathogeny of which still remains poorly elucidated, hence the difficulty of establishing an antenatal diagnostic strategy or giving appropriate genetic advice.</span></span></span></span>