乳糜泻的前葡萄膜炎、色素视网膜病变和网膜部渗出。

Aniruddha Agarwal, Surinder S Rana, Kirti Gupta
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引用次数: 0

摘要

目的:报告一例乳糜泻患者的双侧前葡萄膜炎、色素视网膜病变和平面部渗出,在无麸质饮食后炎症完全消退。方法:回顾性病例报告。结果:一名19岁的亚洲印度女孩在过去的2个月里表现为双侧非肉芽肿性前葡萄膜炎。检查发现双侧视网膜色素病变,左眼下网膜附近渗出物。实验室评估显示抗组织转谷氨酰胺酶抗体阳性,低促甲状腺激素,低血清铁蛋白,贫血和维生素D缺乏。她的十二指肠活检证实为乳糜泻。开始无麸质饮食后,前段炎症和玻璃体渗出完全消失。结论:乳糜泻是一种罕见的引起皮质类固醇抵抗性葡萄膜炎的原因,文献中报道了少数病例。这种情况有多种表现,并通过无麸质饮食解决。
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ANTERIOR UVEITIS, PIGMENTARY RETINOPATHY, AND PARS PLANA EXUDATES IN CELIAC DISEASE.

Purpose: The objective of this study was to report a case of bilateral anterior uveitis, pigmentary retinopathy, and pars plana exudates in a patient with celiac disease with complete resolution of inflammation following gluten-free diet.

Methods: This was a retrospective case report.

Results: A 19-year-old Asian Indian woman presented with bilateral nongranulomatous anterior uveitis for the past 2 months. Examination revealed bilateral pigmentary retinopathy and exudates near the inferior pars plana in the left eye. Laboratory evaluation revealed positive antitissue transglutaminase antibody, low thyroid stimulating hormone, low serum ferritin, anemia, and vitamin D deficiency. Her duodenal biopsy was confirmatory for celiac disease. After initiation of gluten-free diet, there was complete resolution of anterior segment inflammation and vitreous exudates.

Conclusion: Celiac disease is a rare cause of corticosteroid-resistant uveitis with a handful of cases reported in the literature. This condition has protean manifestations and resolves with gluten-free diet.

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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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