A Case of HLA-B27-associated optic neuritis

Matar Alexandre , Ibrikji Sidonie , Bou Ghannam Alaa
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Abstract

We report the case of a young woman who presented with chronic relapsing inflammatory optic neuritis (CRION) in association with HLA-B27 and silent brain lesions. The attacks were refractory to steroids but no further attacks occurred on treatment with mycophenolate mofetil. This is one of the few HLA-B27-associated optic neuritis cases reported in the literature, emphasizing the relation of HLA-B27 and inflammation of the brain and optic nerve, as well as the role mycophenolate mofetil might offer in stabilizing the disease.

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HLA-B27相关视神经炎1例
我们报告了一名年轻女性的病例,她患有慢性复发性炎症性视神经炎(CRION),并伴有HLA-B27和无声脑损伤。这些发作对类固醇是难治性的,但在霉酚酸酯治疗后没有发生进一步的发作。这是文献中报道的少数HLA-B27相关视神经炎病例之一,强调了HLA-B27与大脑和视神经炎症的关系,以及霉酚酸酯可能在稳定疾病中发挥的作用。
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