RETINITIS PIGMENTOSA ASSOCIATED WITH IDIOPATHIC PANUVEITIS: TWO CASES REPORTS

R. A., Pachon, D., Mounir, A., Foster, S.
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Abstract

We report two cases of retinitispigmentosa (RP) associated with Panuveitis in descriptive small case series. One case is RP associated with idiopathic panuveitis and the other oneis RP with multifocal choroiditis and panuveitis (MCP). These are rare entities and it is very unusual for them to coexist in a patient. The first case treated with pulsed intravenous Methotrexate (MTX) 50 mg every week then stopped when inflammation was quiet with no evidence of vasculitis or papillitis on fluoresce in angiogram. The second case was treated successfully with cellcept 2.5 grams daily along with vitamin A palmitate 15,000 IU daily. Conclusion: In patients with refractory panuveitis presenting with progressive decline in vision and visual field constriction, masquerade syndromes such as retinitis pigmentosa, must be excluded.
色素性视网膜炎伴特发性全葡萄膜炎2例报告
我们报告两例视网膜色素斑(RP)与全葡萄膜炎相关的描述性小病例系列。RP合并特发性全葡萄膜炎1例,RP合并多灶性脉络膜炎和全葡萄膜炎(MCP) 1例。这些都是罕见的实体,它们在一个病人身上共存是非常不寻常的。第一例患者每周静脉注射甲氨蝶呤(MTX) 50毫克,当炎症消退,血管造影无血管炎或乳头炎时停止治疗。第二例患者每天服用2.5克纤维素,每天服用维生素A棕榈酸酯15000 IU,治疗成功。结论:以进行性视力下降和视野缩小为表现的难治性全葡萄膜炎患者,必须排除色素性视网膜炎等假面综合征。
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