[炎症指标正常的单侧失明原因不明]。

IF 0.9 4区医学 Q4 RHEUMATOLOGY

Zeitschrift fur Rheumatologie Pub Date : 2024-06-14 DOI:10.1007/s00393-024-01531-w

Felix Müller, Christian Helmut Pfob, Matthias Wahle

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引用次数: 0

摘要

一位 70 岁的女性患者右眼单侧失明。由于 C 反应蛋白（CRP）和红细胞沉降率（ESR）不明显，患者被认为是非动脉炎性栓塞闭塞；然而，在详细询问病史后，大血管炎（LVV）的可能性更大，这一点在随后的影像诊断中得到了证实。这例罕见的大血管炎病例没有出现 CRP 或 ESR 等炎症指标的增加，这凸显了病史和有针对性的诊断程序的重要性。

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[Unclear cause of unilateral blindness with normal inflammation parameters].

A 70-year-old female patient presented with unilateral blindness of the right eye. As C‑reactive protein (CRP) and the erythrocyte sedimentation rate (ESR) were inconspicuous, a nonarteritic embolic occlusion was assumed; however, after detailed anamnesis large vessel vasculitis (LVV) appeared more likely, which was confirmed by the subsequent imaging diagnostics. This rare case of LVV without an increase in one of the inflammatory parameters CRP or ESR highlights the importance of the medical history and targeted diagnostic procedures.

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来源期刊

Zeitschrift fur Rheumatologie 医学-风湿病学

CiteScore

2.20

自引率

20.00%

发文量

150

审稿时长

6-12 weeks

期刊介绍： Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.