AML伴抗mog抗体视神经炎1例

A. Barigali, Mithun Pai, S. Ganesh
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引用次数: 0

摘要

我们报告一个独特的表现抗髓磷脂少突胶质细胞(MOG)视神经炎患者在缓解AML。一位老年男性表现为右眼视力减退,伴有头痛和下颚疼痛。全身检查未见白血病复发。抗mog抗体和视神经增强提示单侧视神经炎。类固醇治疗导致椎间盘水肿消退。我们面对一个诊断困境的患者单侧椎间盘水肿的背景下,多系统性疾病。系统的调查方法帮助我们准确诊断,及时治疗,并最大限度地减少视力发病率。我们提出这个病例是为了强调区分白血病视神经浸润与其他原因的单侧椎间盘水肿的重要性,因为它们的治疗方法是不同的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anti-MOG antibody optic neuritis in AML – A case report
We report a unique presentation of anti-myelin oligodendrocyte (MOG) optic neuritis in a patient with AML in remission. An elderly man presented with diminished vision in the right eye associated with headache and jaw pain. Systemic investigations revealed no leukemic recurrence. The presence of anti-MOG antibodies and optic nerve enhancement suggested of unilateral optic neuritis. Steroid therapy resulted in the resolution of disc edema. We faced a diagnostic dilemma in a patient with unilateral disc edema in the background of multiple systemic diseases. A methodical approach to investigations helped us in accurate diagnosis, institution of prompt therapy, and minimizing visual morbidity. We present this case to highlight the importance of differentiating leukemic optic nerve infiltration from other causes of unilateral disc edema, as their therapeutic approaches are different.
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