BACKGROUND We describe a case of relentless placoid chorioretinitis(RPC)that progressed despite administration of peribulbar and systemic corticosteroids,and was resolved by systemic combined with intravitreal methotr...BACKGROUND We describe a case of relentless placoid chorioretinitis(RPC)that progressed despite administration of peribulbar and systemic corticosteroids,and was resolved by systemic combined with intravitreal methotrexate.CASE SUMMARY A 16-year-old male reported painless blurred vision and a temporal scotoma in his right eye for one week.Due to widespread distribution and continuous enlargement,multimodal imaging of the lesions led to the diagnosis of RPC.Lesions in the right eye extended despite peribulbar injection of triamcinolone acetonide,but the progression was immediately terminated by a single dose of intravitreal methotrexate.A new fresh lesion occurred in the contralateral eye despite systemic prednisolone but was resolved by oral methotrexate.CONCLUSION Systemic immunosuppressants should be given upon RPC diagnosis.Intravitreal methotrexate immediately halted progression and may be considered for sightthreatening cases as part of the initial therapy.展开更多
INTRODUCTION Zika virus(ZIKV)has captured the attention of the world because of its potential to infect neural cells and its teratogenic effects on foetuses and the new born.The virus seems to have various modes of tr...INTRODUCTION Zika virus(ZIKV)has captured the attention of the world because of its potential to infect neural cells and its teratogenic effects on foetuses and the new born.The virus seems to have various modes of transmission and has been the subject of many reviews in the literature(example,Musso and Gubler,2016,Wang et al.,2016).ZIKV was first isolated in1947 but remained almost展开更多
基金the National Natural Science Foundation of China,No.81800847and the Tenth“Academic Star”project of Peking University People's Hospital,No.RS2018-05.
文摘BACKGROUND We describe a case of relentless placoid chorioretinitis(RPC)that progressed despite administration of peribulbar and systemic corticosteroids,and was resolved by systemic combined with intravitreal methotrexate.CASE SUMMARY A 16-year-old male reported painless blurred vision and a temporal scotoma in his right eye for one week.Due to widespread distribution and continuous enlargement,multimodal imaging of the lesions led to the diagnosis of RPC.Lesions in the right eye extended despite peribulbar injection of triamcinolone acetonide,but the progression was immediately terminated by a single dose of intravitreal methotrexate.A new fresh lesion occurred in the contralateral eye despite systemic prednisolone but was resolved by oral methotrexate.CONCLUSION Systemic immunosuppressants should be given upon RPC diagnosis.Intravitreal methotrexate immediately halted progression and may be considered for sightthreatening cases as part of the initial therapy.
文摘INTRODUCTION Zika virus(ZIKV)has captured the attention of the world because of its potential to infect neural cells and its teratogenic effects on foetuses and the new born.The virus seems to have various modes of transmission and has been the subject of many reviews in the literature(example,Musso and Gubler,2016,Wang et al.,2016).ZIKV was first isolated in1947 but remained almost
