1例儿童视网膜外展状血管瘤的自发性消退。

Q3 Medicine
Shivesh Varma, Philip J Ferrone
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引用次数: 0

摘要

目的:报告2型视网膜外消旋血管瘤的儿童患者自发消退超过6个月的随访未经治疗。方法:观察性病例报告。结果:一名12岁女孩被诊断为右后极单侧2型视网膜外展状血管瘤,经荧光素血管造影证实。在未治疗的情况下观察6个月后,复查及荧光素血管造影显示动静脉畸形消退,无血管闭塞或黄斑水肿。结论:视网膜外消旋状血管瘤不经治疗可自行消退。这些病变传统上被认为是静止的,但可能发生血管并发症的进展或视力丧失。在成人中很少有退化的报道,而且退化的机制也不完全清楚。这可能是由于动脉侧和过渡区血管畸形的部分闭塞,通过分流的血流减少导致血管系统正常化,正如我们所描述的患者的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spontaneous regression of retinal racemose hemangioma in a pediatric patient.

Purpose: To report spontaneous regression of a type 2 retinal racemose hemangioma in a pediatric patient over 6 months of follow-up without treatment.

Methods: Observational case report.

Results: A 12 year old girl was diagnosed with unilateral type 2 retinal racemose hemangioma in the right posterior pole, confirmed on fluorescein angiography. After 6 months of observation without treatment, repeat examination and fluorescein angiography demonstrated regression of the arteriovenous malformation, without evidence of vascular occlusion or macular edema.

Conclusion: Retinal racemose hemangioma can spontaneously regress without treatment. These lesions were traditionally considered to be stationary, but progression or vision loss from vascular complications can occur. Regression in adults has been rarely reported, and the mechanism of involution is not fully understood. It may be attributed to partial occlusion of the vascular malformation on the arterial side and at the transitional zone, with reduction in flow across the shunt leading to normalisation of the vasculature, as appears to be the case in the patient we describe.

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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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