Vasculitis retinal idiopática, aneurismas y neurorretinitis (IRVAN). Reporte de caso y revisión de la literatura

Q3 Health Professions Revista Colombiana de Reumatologia Pub Date : 2024-01-01 DOI:10.1016/j.rcreu.2022.08.004
Daniela Giraldo Ochoa , Silvia Caballero Mojica , John Camilo Hernández Foronda , Miguel Cuevas Peláez , Martha Lucia Muñoz Cardona
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引用次数: 0

Abstract

Idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) is an infrequent disease, of as yet unknown aetiology, which affects the retina with no systemic injury, causing progressive retinal ischaemia and visual loss. We describe the case of a Colombian patient with a diagnosis of IRVAN guided by clinical examination and diagnostic images, after previously ruling out other ocular infections, autoimmune, or systemic diseases. Our patient was treated with peripheral laser, intravitreous anti-vascular endothelial growth factor anti, and systemic immunosuppression with excellent response. In conclusion, early diagnosis and proper treatment according to disease stage could improve visual prognosis.

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特发性视网膜血管炎、动脉瘤和神经视网膜炎。病例报告和文献回顾
特发性视网膜血管炎、动脉瘤和神经视网膜炎(IRVAN)是一种不常见的疾病,病因尚不清楚,在没有全身性损伤的情况下影响视网膜,导致进行性视网膜缺血和视力丧失。我们描述了一例哥伦比亚患者的病例,在排除了其他眼部感染、自身免疫或全身性疾病后,通过临床检查和诊断图像确诊为 IRVAN。我们的患者接受了外周激光、玻璃体内抗血管内皮生长因子和全身免疫抑制治疗,取得了良好的疗效。总之,根据疾病分期进行早期诊断和适当治疗可以改善视力预后。
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来源期刊
Revista Colombiana de Reumatologia
Revista Colombiana de Reumatologia Medicine-Rheumatology
CiteScore
0.80
自引率
0.00%
发文量
92
期刊介绍: The Colombian Journal of Rheumatology (Revista Colombiana de Reumatología) is the official organ of the Colombian Association of Rheumatology (Asociación Colombiana de Reumatología) and the Central American, Caribbean and Andean Association of Rheumatology (Asociación Centroamericana Caribe Andina de Reumatología) - ACCA. It was created in December 1993 with the purpose of disseminating scientific information derived from primary and secondary research and presenting cases coming from the practice of Rheumatology in Latin America. Since its foundation, the Journal has been characterized by its plurality with subjects of all rheumatic and osteomuscular pathologies, in the form of original articles, historical articles, economic evaluations, and articles of reflection and education in Medicine. It covers an extensive area of topics ranging from the broad spectrum of the clinical aspects of rheumatology and related areas in autoimmunity (both in pediatric and adult pathologies), to aspects of basic sciences. It is an academic tool for the different members of the academic and scientific community at their different levels of training, from undergraduate to post-doctoral degrees, managing to integrate all actors inter and trans disciplinarily. It is intended for rheumatologists, general internists, specialists in related areas, and general practitioners in the country and abroad. It has become an important space in the work of all rheumatologists from Central and South America.
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