Bilateral Frosted Branch Angiitis in a Patient with Tuberculous Meningoencephalitis.

Hai-yan Wang, Liping Wang, Fang Du, Peng Zhang, Yusheng Wang
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Abstract

PURPOSE To present a case of frosted branch angiitis with tuberculous meningoencephalitis who was followed up for 18 months after treatment. METHODS Case report. RESULTS A 19-year-old female with tuberculous meningoencephalitis complained of bilateral blurred vision, and presented with frosted branch angiitis and macula edema in both eyes. Treatment with systemic glucocorticoid and standard anti-tuberculosis medicine totally resolved the retinal periphlebitis and macular edema, with vision improvement achieved at the 18-month follow-up. CONCLUSION Frosted branch angiitis could be secondary to tuberculous meningoencephalitis. Based on standard anti-tuberculosis medicine, systemic glucocorticoid may help in the remission of frosted branch angiitis.
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结核性脑膜脑炎患者双侧霜状支血管炎1例。
目的报告1例结霜支血管炎合并结核性脑膜脑炎患者,治疗后随访18个月。METHODSCase报告。结果19岁女性结核性脑膜脑炎患者,主诉双侧视力模糊,双侧表现为霜状支血管炎和黄斑水肿。经全身糖皮质激素和标准抗结核药物治疗,视网膜周围炎和黄斑水肿完全缓解,随访18个月视力改善。结论霜状支血管炎可能继发于结核性脑膜脑炎。在标准抗结核药物的基础上,全身性糖皮质激素可能有助于缓解霜状支血管炎。
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