Uveitis

Kanski, Jack J.

doi:10.1016/b978-0-7020-3135-9.50019-7

Cited by 5 publications

(6 citation statements)

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“…Ophthalmic ZSH is characterized by spontaneous pain in the area of the first branch of the trigeminal nerve, which is considered to be an important – and the only subjective – symptom 3. Its diagnosis is difficult as blisters do not develop and there is no clue to its diagnosis other than orbital pain 4. For this reason, although a reliable diagnosis is difficult, early diagnosis is important as ZSH has also been reported to cause severe uveitis,5,6 acute retinal necrosis syndrome,7,8 and neuroparalysis9 if left untreated.…”

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confidence: 99%

The significance of the determination of lymphocytes with clinical manifestation of ophthalmic zoster sine herpete

Marumoto¹,

Hiratsuka²,

Murakami³

2010

OPTH

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Objective:To examine the significance of VZV-IgG (IgG) enzyme immunoassay (EIA) and the determination of peripheral blood lymphocyte counts in the diagnosis of ophthalmic zoster sine herpete (ophthalmic ZSH).Method:Clinical case-control study with a sample of 65 patients with ophthalmic ZSH (16 males and 49 females; mean age 56 ± 18 years) in whom pressure elicited pain in tender points of Valleix (tender points of sites at which the trigeminal nerve appears subcutaneously). A total of 41 healthy controls (17 males and 24 females, mean age 48 ± 21 years) were also recruited. In each group, IgG and lymphocyte count were determined upon receiving the consent of patients. Multiple logistic regression analysis was used to evaluate the factors associated with diagnosis of ophthalmic ZSH. Odds ratios and 95% confidence intervals (CI) were determined for each variable.Results:Lymphocyte count in the patients with ophthalmic ZSH was significantly low, though there were no significant differences in age, gender, and IgG between the two groups. Multiple logistic regression analysis revealed that lymphocytes pose a significant prognostic factor, and in case of 1,800 lymphocytes/μl or more, the odds ratio to less than1,800 lymphocytes/μl was 0.29 (95% CI: 0.12–0.72).Conclusion:Patients with orbital pain should be suspected as having ophthalmic ZSH as this allows for the determination of lymphocyte counts after tender points were confirmed. The swift diagnosis of ophthalmic ZSH and the administration of antiviral drugs from an early stage improve the subjective symptoms of the patient and is regarded as necessary to reduce the risk of severe complications.

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confidence: 99%

The significance of the determination of lymphocytes with clinical manifestation of ophthalmic zoster sine herpete

Marumoto¹,

Hiratsuka²,

Murakami³

2010

OPTH

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“…Há três formas de apresentação clínica da doença no SNC, segundo Al-Fahad e Al-Araji 11 : 1) forma parenquimatosa (síndrome do tronco encefálico, forma stroke like, psiquiátrica, mielopática e forma difusa); 2) hipertensão intracraniana com papiledema; 3) meningite símile. Na série de 50 casos de Kidd et al 9 , além dessas manifestações, houve também comprometimento de nervos cranianos (II, V, VII e VIII) 4 . O envolvimento neuropsicológico é caracterizado, principalmente, por prejuízo da memória e alterações da personalidade (apatia, desinibição).…”

Section: Discussionunclassified

“…A alteração patológica central é constituída por um processo vasculítico, nem sempre demonstrável no sistema nervoso central (SNC), no qual verificam-se meningoencefalite neutrofílica ou linfocítica crônica e múltiplos focos necróticos, principalmente em tronco encefálico e núcleos da base 6,8,9 . As complicações vasculares podem ocorrer por uma atividade pró-coagulante anormal, com um papel primário ou secundário à ativação pela célula endotelial 4 .…”

Section: Introductionunclassified

Neuro-Behçet

Pires¹,

Cruzeiro²,

Pinto³

et al. 2019

Rev Neurocienc

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A doença de Behçet é uma doença sistêmica, sem marcador específico, cuja descrição clássica é de uma tríade clínica de úlceras genitais, aftas orais e lesão ocular (uveíte). O envolvimento do sistema nervoso (neuro-Behçet) é relatado em 4% a 29% dos indivíduos acometidos pela doença. Relatamos dois casos de envolvimento do sistema nervoso, em um homem e em uma mulher. No primeiro, houve acometimento do terceiro nervo craniano à direita e comprometimento neuropsicológico. O segundo caso caracterizou-se por cefaléia, baixa acuidade visual, astenia, eritema nodoso, trombose venosa profunda e edema de papila

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“…Literatürde AS ve toxoplasma üveiti birlikteliği ile ilgili çalışmaya rastlanmamıştır. Oküler toxoplasmosis'te görme kaybı foveanın papillomaküler liflerin veya optik sinirin direkt invazyonuna bağlı olarak gelişebileceği gibi kistoid makula ödemi, koroid neovasküler membran ve traksiyonel retina dekolmanına bağlı ortaya çıkabilmektedir (11). Bizim hastamızda da vitreus içinde yoğun kondansasyon ve opasitelere bağlı görmede azalma meydana gelmiştir.…”

Section: Discussionunclassified

Toxoplasma Uveitis in a Patient with Ankylosing Spondylitis

Devecı¹,

Kobak²

2013

TurkiyeParazitolDerg

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In this paper, a posterior uveitis case was reported in a patient who was being followed and under treatment for Ankylosing Spondylitis. Toxoplasma antibodies were investigated and anti-toxoplasma IgG was positive. Systematic treatment (Sulfamethoxazole/Trimethoprim and Clindamycin) was started. Despite medical treatment, reduction in visual acuity and development of dense membranous condensation in vitreous occurred. Surgical vitrectomy was performed. When posterior uveitis develops in patients who undergo immunosuppressive treatment, toxoplasma is among the first infectious agents that we should consider. A delay in diagnosis and treatment may result in failure in obtaining the desired outcome from medical treatment and a shift to surgical treatment.

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Uveitis

Cited by 5 publications

References 0 publications

The significance of the determination of lymphocytes with clinical manifestation of ophthalmic zoster sine herpete

The significance of the determination of lymphocytes with clinical manifestation of ophthalmic zoster sine herpete

Neuro-Behçet

Toxoplasma Uveitis in a Patient with Ankylosing Spondylitis

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