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ID:62076465
大小:1.31 MB
页数:95页
时间:2021-04-14
《最新Uveitis and Systemic Disease - diabetic retinopathy:葡萄膜炎和全身性疾病:糖尿病视网膜病变-药学医学精品资料.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、最新UveitisandSystemicDisease-diabeticretinopathy:葡萄膜炎和全身性疾病:糖尿病视网膜病变-药学医学精品资料UveitisandSystemicDiseaseUveitisUveitis,atermcorrectlyusedtodescribeinflammationoftheuvealtract(iris,ciliarybody,choroid)alone,inrealitycomprisesalargegroupofdiversediseasesaffectingnotonlytheuveabutalsotheretina,opti
2、cnerveandvitreous.Uveitisisamajorcauseofseverevisualimpairmentandhasbeenestimatedtoaccountfor10-15%ofallcasesoftotalblindnessintheUSA.InsurveysofthecausesofblindnessuveitishasusuallynotbeenincludedandisprobablyunderestimatedUveitisandSystemicDiseaseUveitisandSystemicDiseaseUveitisandSystemicD
3、iseaseUveitisandSystemicDiseaseUveitisandSystemicDiseaseUveitisandSystemicDisease-HistoryandexaminationWhentoinvestigateOneofthemostpressingquestionsthatarisesinthemindofeveryophthalmologistwhoseesanewcaseofuveitisis"whatisthecauseofthisdisease?"Inevaluatingpatientswithuveitis,theophthalmolo
4、gistmustconsiderthatalengthylistofinfections,autoimmunesystemicdiseases,distinctiveinflammatoryconditionsandmasqueradesyndromesmayallcauseuvealinflammation.Despitethisarrayofpotentialdiagnoses,thevastmajorityofpatientshavediseasethatdefiescategorisation.UveitisandSystemicDisease-avoidashotgun
5、approachtoinvestigation!!DonotwadeinlikeJohnWayne!!GeneralInvestigationsArecentretrospectivereviewofpatientswithvarioustypesofuveitisshowedthefollowingabnormalresults:fullbloodcount:23/113(20.3%),plasmaviscosity/ESR:37/108(34.2%),VDRL/TPHA:3/70(4.3%),angiotensinconvertingenzyme(ACE):9/77(10.
6、8%)andchestx-ray(CXR):15/103(14.6%).SarcoidosiswasdiagnosedineightpatientswhohadanabnormalCXR±raisedACE.Allpatientswithsymptomsofotherorgansystemdysfunctionorgeneralmalaiseshouldbeinvestigatedtoruleoutunder-lyingsystemicdisease.UveitisandSystemicDiseaseUveitisandSystemicDiseaseUveitisandSyste
7、micDiseaseHLA-B27disease.Debateexistsastowhetherpatientswiththecommonesttypeofuveitis(acuteanterioruveitis-AAU)shouldbeinvestigated.Itiswellrecognisedthatapproximately50%ofpatientswithAAUareHLA-B27positive.Anumberofthesepatientswillgiveahisto
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