Papillophlebitis and arteriolar occlusion in a pregnant woman.

M Humayun, J Kattah, T R Cupps, S R Limaye, G A Chrousos
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Abstract

Among the pathologic findings affecting the eye during pregnancy, microvascular abnormalities affecting both choroidal and retinal circulation have been reported in cases of complicated pregnancy. We report a case of papillophlebitis and arteriolar occlusion in a pregnant woman without any complications throughout her pregnancy. The patient was placed on glucocorticoids and her vision, visual fields and funduscopic appearance improved almost to normal. Despite the improvement with treatment, the contributing role of glucocorticoids in this case could not be fully determined. Papillophlebitis and arteriolar occlusion should be included among gestational-related vasculopathies.

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孕妇乳头静脉炎和小动脉闭塞。
在妊娠期间影响眼睛的病理表现中,有报道称,在复杂妊娠病例中,微血管异常同时影响脉络膜和视网膜循环。我们报告一例乳头静脉炎和小动脉闭塞的孕妇没有任何并发症在整个怀孕期间。患者接受糖皮质激素治疗后,视力、视野及眼底外观基本恢复正常。尽管治疗有改善,但糖皮质激素在这种情况下的作用还不能完全确定。乳头静脉炎和小动脉闭塞应包括在妊娠相关血管病变。
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