多软骨炎性巩膜炎一例
题：眼耳部受累多发性软骨炎一例（英文题：PolychondritiswithAuricularandOcularInvolvement；作者：GabrielaRodríguez-Colón，AlanG.Palestine；作者单位：美国科罗拉多大学医学院）男性患者，46岁，因双耳耳廓疼痛肿胀，并有双眼红痛，畏光一月来院就诊。全身检查后发现右手手腕有明显疼痛，此外还发现双耳耳廓红斑，增厚，耳小叶畸形（图A），右侧鼓膜充血，未发现有关节畸形。眼科检查发现双眼结膜、巩膜及巩膜血管出现严重的充血及炎症（图B）。滴加去甲肾上腺素滴眼液后充血并没有消退，这也与巩膜炎的诊断标准一致。裂隙灯检查发现双眼视乳头水肿和充血。此外超声检查还发现巩膜增厚。实验室检查未发现异常。最后，对该患者应用了糖皮质激素及睫状肌麻痹眼药水，效果明显。A46-year-oldmanpresentedwitha1-monthhistoryofbilateralauricularpainandswellingofthepinnae,followedbybilateraleyeredness,pain,andphotophobia.Reviewofsystemswasnotableforpainintherightwrist.Examinationrevealedbilateralerythemaandtendernessoftheauriclesandthickeninganddeformityofthepinnaewithsparingoftheearlobules(PanelA)andnojointabnormalities.Therighttympanicmembranewascongested.Ophthalmologicexaminationrevealedbilateralcongestionandinflammationoftheconjunctival,episcleral,andscleralvessels(PanelB).Thecongestedareadidnotblanchwiththeinstillationofphenylephrineeyedrops—afindingthatisconsistentwithadiagnosisofscleritis.Posteriorscleritiswasidentifiedbythepresenceofbilateraloptic-diskedemaandhyperemiaonslit-lampexaminationandbythepresenceofathickenedscleraonultrasonography.Laboratoryworkupwasunrevealing.Thepatientwastreatedwithprednisone,topicalglucocorticoids,andcycloplegiceyedrops,withagoodresponse.（彭毓报道）需要原文请留邮箱温医眼视光临床科研中心什么是白癜风图片白癜风怎么治好得快
