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Clinical analysis of ocular fundus complications in 25 cases of systemic lupus erythematosus
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 4
- DOI:
- 10.3760/j.issn:1005-1015.2004.04.002
- Key Word:
- 红斑狼疮,系统性/并发症;眼底病/病因学;视网膜静脉闭塞/病因学
Abstract： 目的探讨系统性红斑狼疮(SLE)眼底并发症的临床特点. 方法回顾性分析25例出现眼底并发症的SLE患者的眼底、眼部其他表现、伴随的全身病变及血抗核抗体(ANA)、抗双链DNA(抗dsDNA)、补体3(C3)、补体4(C4)和血红细胞沉降率(ESR). 结果 "典型的"SLE眼底病变15例25只眼,视网膜静脉阻塞(RVO)9例12只眼,RVO合并视网膜动脉不全阻塞1例2只眼,渗出性视网膜脱离1例2只眼,玻璃体积血合并新生血管性青光眼1例1只眼,视盘水肿(除外RVO所致)3例6只眼.9例合并有眼部其他表现,21例患者伴随有全身症状,所有病例血抗核抗体(ANA)、抗dsDNA阳性和血ESR升高,19例C3下降,17例C4下降. 结论 SLE可产生严重的眼底并发症及合并其他眼部病变,对SLE患者应定期进行眼科检查,以便早期发现眼底病变并及时进行治疗.
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