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首页> 外文期刊>Japanese Journal of Ophthalmology >Clinical and angiographic characteristics of retinal manifestations in cat scratch disease.
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Clinical and angiographic characteristics of retinal manifestations in cat scratch disease.

机译：猫抓病中视网膜表现的临床和血管造影特征。

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摘要

PURPOSE: To elucidate clinical and angiographic features of retinal manifestations in cat scratch disease. METHODS: Clinical characteristics as well as fluorescein and indocyanine green (ICG) angiographic features were reviewed in 4 consecutive patients with retinal manifestations caused by serologically confirmed cat scratch disease. RESULTS: A subretinal to intraretinal granuloma at the upper margin of the optic disc was found in 3 patients, while 1 patient developed subretinal to intraretinal granuloma in the midperiphery with serous retinal detachment. Fluorescein angiography revealed the abnormal vascular network of the peripapillary granuloma in the early phase followed by its dye leakage toward the late phase. Indocyanine green angiography demonstrated more clearly the abnormal vascular network with its minimal dye leakage than did fluorescein angiography. In contrast, only the late dye leakage was noted from granuloma of the midperipheral fundus by fluorescein angiography in one patient. Indocyanine green angiography detected no choroidal lesions other than the retinal lesions delineated by fluorescein angiography. The granulomas disappeared in response to a 4-week course of sulfamethoxazole-trimethoprim combined with steroids. CONCLUSIONS: Granuloma with abnormal vascular network as revealed by fluorescein and ICG angiography is characteristic of retinal manifestations in cat scratch disease.
机译：目的：阐明猫抓病中视网膜表现的临床和血管造影特征。方法：对连续4例由血清学证实的猫抓病引起的视网膜表现的患者的临床特征以及荧光素和吲哚菁绿（ICG）血管造影特征进行了回顾。结果：3例患者在视盘上缘发现了视网膜下到视网膜内的肉芽肿，而中周周围有浆膜性视网膜脱离的患者中有1例发展为视网膜下到视网膜内的肉芽肿。荧光素血管造影显示，早期乳头状肉芽肿的血管网络异常，随后染料向晚期渗漏。吲哚菁绿血管造影比荧光素血管造影更清楚地显示出异常的血管网络，其染料泄漏最少。相反，通过荧光素血管造影术在一名患者中仅发现了晚期染料从中周眼底肉芽肿漏出。吲哚菁绿血管造影没有发现脉络膜病变，除了荧光素血管造影所描绘的视网膜病变。磺胺甲恶唑-甲氧苄氨嘧啶联合类固醇治疗4周，肉芽肿消失。结论：荧光素和ICG血管造影显示，肉芽肿具有异常的血管网络，是猫抓痕病视网膜表现的特征。

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