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Imaging in the Diagnosis and Management of APMPPE

机译：影像学在APMPPE的诊断和管理中

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摘要

Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is an uncommon, self-limited idiopathic condition that was first described by Gass in 1968.1 APMPPE typically affects young, healthy individuals with a bilateral distribution at onset or, if initially unilateral, involvement of the fellow eye within days to weeks. Over one third of patients report a preceding viral or flu-like illness. Visual complaints include photopsias, blurred vision, and paracentral scotomas, with vision being more significantly decreased in cases with foveal involvement. Visual prognosis is generally good, with 87% of patients without foveal involvement recovering visual acuity of 20/25 or better. Recurrence of APMPPE has been reported6 but is uncommon. Cerebral vasculitis is a rare but life-threatening complication occurring simultaneously or months after onset of ocular disease. A variant, relentless placoid chorioretinitis, has a worse prognosis and shares findings and behavior similar to both APMPPE and serpiginous choroidopathy.
机译：急性后部多灶性乳突色素上皮病（APMPPE）是一种罕见的，自限性特发性疾病，由Gass于1968年首次描述。1APMPPE通常会影响年轻健康的个体，发病时会出现双侧分布，或者如果最初是单侧的话，会累及另一只眼睛。在几天到几周内。超过三分之一的患者报告有先前的病毒或流感样疾病。视觉不适包括视光检查，视力模糊和中央旁旁视，在中央凹受累的情况下视力会明显下降。视力预后一般良好，无中央凹受累的患者中有87％恢复视力为20/25或更高。据报APMPPE复发6，但不常见。脑血管炎是一种罕见的但危及生命的并发症，同时发生或在眼部疾病发作后数月发生。一种变型，无情的乳突性脉络膜视网膜炎，预后较差，其发现和行为与APMPPE和乳突性脉络膜疾病相似。

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