[ACUTE VISION LOSS ASSOCIATED WITH HYPEREOSINOPHILIC SYNDROME].

Harefuah Pub Date : 2022-10-01
Inbal Man Peles, Nitza Goldenberg-Cohen
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引用次数: 0

Abstract

Introduction: Hypereosinophilic syndrome (HES) is a rare disorder, in which eosinophilic toxins damage capillary and coronary endothelium and neuronal axons, at different target organs; 12% of patients experience stroke as a result of endothelial dysfunction, cardiomyopathy with secondary embolism, hyperviscosity and hypercoagulability. The treatment target is to lower the eosinophil count and shorten its tissue survival time. Supportive care and anticoagulants are given as required. We report a case of myocarditis, respiratory failure and cortical blindness due to rapidly deteriorating HES. The case demonstrates how early recognition and appropriate treatment can reduce tissue toxicity and functional loss due to hypereosinophilic syndrome.

[与嗜酸性粒细胞增多综合征相关的急性视力丧失]。
高嗜酸性粒细胞综合征(HES)是一种罕见的疾病,其嗜酸性毒素在不同的靶器官损伤毛细血管和冠状动脉内皮和神经元轴突;12%的患者中风是由于内皮功能障碍、心肌病继发栓塞、高黏度和高凝性。治疗目标是降低嗜酸性粒细胞计数,缩短其组织存活时间。根据需要给予支持性护理和抗凝剂。我们报告一例心肌炎,呼吸衰竭和皮质失明,由于迅速恶化的HES。该病例表明,早期识别和适当治疗可以减少因嗜酸性粒细胞增多综合征引起的组织毒性和功能丧失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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