合并后巩膜炎、视神经周围炎的IgG4相关性眼病1例OA
IgG4-related ophthalmic disease with posterior scleritis and peripapillitis:a case report
本病例报告介绍了一例罕见的IgG4相关性眼病(IgG4—ROD)患者,其主要表现为非典型单侧后巩膜炎和视神经周围炎.提示IgG4—ROD可表现为非典型单侧眼后段受累,早期血清IgG4水平不一定显著升高,易导致误诊.综合影像学、血清学及治疗反应对于疾病的正确识别具有重要价值.
This case report presents a rare patient with IgG4-related ophthalmic disease(IgG4-ROD),whose main manifestations were atypical unilateral posterior scleritis and optic perineuritis.The case indicates that IgG4-ROD may present with atypical unilateral involvement of the posterior segment,and that serum IgG4 levels may not be markedly ele-vated in the early stage,which can easily lead to misdiagnosis.A comprehensive evaluation incorporating imaging find-ings,serological assessments,and therapeutic response is of significant value for accurate disease identification.
薛富丽;何宇
610075,四川成都,成都中医药大学眼科学院610041,四川成都,成都市中西医结合医院
医药卫生
IgG4相关性眼病后巩膜炎视神经周围炎眶蜂窝组织炎特发性炎性假瘤他克莫司
IgG4-related ophthalmic diseasePosterior scleritisPeripapillitisOrbital cellulitisIdiopathic inflammatory pseudotumorTacrolimus
《中医眼耳鼻喉杂志》 2026 (1)
57-60,4
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