Ocular manifestations of systemic vasculitis:: report of six cases and review of the literature.

被引:6
作者
Delarbre, X
André, M
Dalens, H
Delèvaux, I
Lhoste-Trouilloud, A
Tridon, A
Schmidt, J
Chanet, V
Piette, JC
Aumaître, O
机构
[1] Hop Gabriel Montpied, Serv Med Interne, F-63003 Clermont Ferrand 1, France
[2] Hop Gabriel Montpied, Serv Ophtalmol, F-63003 Clermont Ferrand 1, France
[3] Hop Gabriel Montpied, Serv Radiol, F-63003 Clermont Ferrand 1, France
[4] Fac Med, Immunol Lab, F-63003 Clermont Ferrand 1, France
[5] Hop Gabriel Montpied, Serv Urgences, F-63003 Clermont Ferrand 1, France
[6] Hop La Pitie Salpetriere, Serv Med Interne, F-75651 Paris 13, France
[7] Hop Gabriel Montpied, Unite Hosp Courte Duree, F-63003 Clermont Ferrand, France
来源
REVUE DE MEDECINE INTERNE | 2001年 / 22卷 / 11期
关键词
vasculitis; periarteritis nodosa; Wegener's granulomatosis; Churg-Strauss syndrome; eye; steroids; CT scan;
D O I
10.1016/S0248-8663(01)00469-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose. - Study of characteristics of ocular involvement in systemic vasculitis. Methods. - We describe six cases of systemic vasculitis with ocular involvement observed between 1992 and 2000. These cases are compared with those reported in the literature. Results. - Our patients suffered from Wegener's granulomatosis (four cases), periarteritis nodosa and Churg-Strauss syndrome. Ocular manifestations were conjunctivitis, scleritis, orbital pseudotumor optic neuritis and extraocular muscle palsy. These manifestations are similar to those reported in the literature. Their treatment requires steroids and immunosuppressive drugs. In one of our cases, intravenous immunoglobulins were effective in controlling an optic neuritis. Conclusion. - Ocular involvement in systemic vasculitis may concern any orbital structure. It usually occurs during the course of vasculitis but may be one of its first manifestations. It requires an appropriate treatment to prevent ophthalmic complications and especially blindness. (C) 2001 Editions scientifiques et medicales Elsevier SAS.
引用
收藏
页码:1039 / 1048
页数:10
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