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次のような共通点を持つ,原因不明のぶどう膜炎の2症例を報告した。
①若い女性である。②両側性の軽度の虹彩炎が遷延する。③軽度の網膜血管炎を伴う。④網膜色素上皮レベルに,黄灰白色の点状あるいはその融合した斑状病変が,黄斑部外の主として赤道部に集族・散在し,それらは,螢光眼底撮影において,pigment epithelialwindow defectを示す。臨床的には,drusenと同一のものとみなされる。⑤下肢の関節炎の既往がみられ,1例は,sero-negative spondyloarthritisと診断された。⑥霧視が唯一の症状であり,視力は良好である。
Two females, aged 15 and 17 years each, develop-ed uveitis of unknown etiology with some distinct clinical features. The condition occurred as bilate-ral recurrent mild iritis associated with retinal flecks and peripheral retinal vasculitis. The flecks were yellowish-gray in color, punctate, sharply defined, and were located in the pigment epithelial layer. Some were irregularly confluent. They were dis-tributed mainly in the equatorial region and were absent in the macula. On fluorescein angiography, they appeared as hyperfluorescent spots showing pigment epithelial window defect.
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