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作 者:Laurent-Coriat C. Tilikete C. Bouhour D. A. Vighetto 潘佳鸿
机构地区:[1]Service de Neurologie D,Hpital Neurologique,59,boulevard Pinel,69677 Bron Cedex
出 处:《世界核心医学期刊文摘(眼科学分册)》2006年第6期2-2,共1页Digest of the World Core Medical Journals:Ophthalmology
摘 要:We report the case of a 57-year-old man who presented bilateral subacute and painless optic neuropathy after meningopolyradiculitis revealing a primary human immunodeficiency virus infection. Both antiretroviral and steroid treatments were ineffective. Clinical symptoms and evolutive pattern were consistent with a mechanism of microvascular ischaemia of the optic nerve head. Optic neuropathies related to HIV infection are rare compared to those resulting from opportunistic infections. There are several pathophysiological mechanisms involved.We report the case of a 57 -year-old man who presented bilateral subacute and painless optic neuropathy after meningopolyradiculitis revealing a primary human immunodeficiency virus infection. Both antiretroviral and steroid treatments were ineffective. Clinical symptoms and evolutive pattern were consistent with a mechanism of microvascular ischaemia of the optic nerve head. Optic neuropathies related to HIV infection are rare compared to those resulting from opportunistic infections. There are several pathophysiological mechanisms involved.
关 键 词:视神经病变 HIV感染 双侧 出现 人免疫缺陷病毒感染 多发性神经根炎 病理生理学机制 抗逆转录病毒 视神经乳头 致病菌感染
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