去铁胺致视网膜色素上皮中毒。[病例报告]。

N Charton, J A Sahel, J Flament
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引用次数: 0

摘要

一例接受血液透析的患者静脉注射去铁胺(3g)治疗铝质脑病。他突然出现黄视症并伴有视力丧失。眼底检查显示弥漫性黄斑不规则色素紊乱。我们讨论了自1983年以来发表的这些观察结果的现有知识和可能的发病机制。认识到去铁胺的副作用意味着要进行类似于氯喹的眼科随访。
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[Poisoning of retinal pigment epithelium by deferoxamine. A case report].

A patient undergoing hemodialysis was treated intravenously with desferrioxamine (3 g) for an aluminum encephalopathy. He presented a sudden xanthopsia with visual loss. Fundus examination showed diffuse macular irregular pigmentary disturbances. We discuss current knowledge and possible pathogenesis of these observations published since 1983. Awareness of the side effects of desferrioxamine implies an ophthalmologic follow up similar as chloroquine.

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