眼部钝挫伤导致伴发附睾炎的儿童全巩膜炎一例

doi:10.24920/004150

Chinese Medical Sciences Journal ›› 2023, Vol. 38 ›› Issue (1): 57-61.doi: 10.24920/004150

眼部钝挫伤导致伴发附睾炎的儿童全巩膜炎一例

刘忆南^1,²,郭翼宁^1,²,宋一帆^1,²,田彦杰^1,^2,^*(),李学民^1,^2,^*()

¹北京大学第三医院眼科, 北京100191，中国
²眼部神经损伤的重建保护与康复北京市重点实验室，北京100191，中国

收稿日期:2022-08-02 接受日期:2022-12-19 出版日期:2023-03-31 发布日期:2023-01-12
通讯作者: 田彦杰,李学民 E-mail:tianyanjietongxun@163.com;lxmlxm66@sina.com

Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis

Yi-Nan Liu^1,²,Yi-Ning Guo^1,²,Yi-Fan Song^1,²,Yan-Jie Tian^1,^2,^*(),Xue-Min Li^1,^2,^*()

¹Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China
²Beijing Key Laborory of Restoration of Damaged Ocular Nerve, Beijing 100191, China

Received:2022-08-02 Accepted:2022-12-19 Published:2023-03-31 Online:2023-01-12
Contact: Yan-Jie Tian,Xue-Min Li E-mail:tianyanjietongxun@163.com;lxmlxm66@sina.com

摘要/Abstract

摘要：

我们报道一例8岁男童因跌倒后眼部外伤导致的左眼全巩膜炎伴发右侧附睾炎的病例。病因诊断在本病例中起到关键作用。寻找巩膜炎病因的全身检查排除了系统性自身免疫性疾病、肿瘤和感染。我们认为巩膜炎系眼外伤所致局部迟发性超敏反应所致，属于非感染性炎症，但右侧附睾炎仍为感染性炎症。巩膜炎和附睾炎分别应用糖皮质激素和抗生素治疗，均取得良好疗效。因此，在疾病早期进行病因诊断和合理治疗是预防视力丧失的关键。

关键词: 全巩膜炎, 眼部钝挫伤, 视神经病变, 迟发型超敏反应, 病例报告

Abstract:

We reported an 8-year-old boy with panscleritis in left eye and right epididymitis after falling on the ground. Etiologic diagnosis played a key role in this case. Systemic examinations ruled out systemic autoimmune diseases, tumors, and infections as the cause of scleritis and suggested that the disease was caused by a local delayed-type hypersensitivity (DTH) induced by ocular trauma and was non-infectious. Still, the right epididymitis was infectious. Both conditions were treated successfully using steroids and antibiotics, respectively. Thus, early etiologic diagnosis and reasonable treatment are crucial to prevent visual loss.

Key words: panscleritis, blunt ocular trauma, optic neuropathy, delayed-type hypersensitivity, case report

Yi-Nan Liu, Yi-Ning Guo, Yi-Fan Song, Yan-Jie Tian, Xue-Min Li. Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis[J].Chinese Medical Sciences Journal, 2023, 38(1): 57-61.

图/表 2

参考文献 25

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眼部钝挫伤导致伴发附睾炎的儿童全巩膜炎一例

Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis

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