科研之友
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摘要
A 57-year-old man presented with severe, painless, stepwise vision loss in one eye over 24 hours. Fundus examination showed pallid optic disc oedema with cilioretinal artery occlusion. A retinal fluorescein angiogram showed patchy choroidal hypoperfusion of the affected eye, consistent with arteritic anterior ischaemic optic neuropathy (AION). Temporal artery biopsy revealed non-giant cell periarteritis. A systemic evaluation discovered a symptom complex of asthma, eosinophilia, and pulmonary infiltrates, suggesting Churg-Strauss syndrome. The patient was successfully treated with oral corticosteroid and metrotrexate, with stabilization of vision and improvement of systemic symptoms.
- 出版日期2011-12
