IgG4相关眼病三例  

IgG4-related ophthalmic disease: three-case report

作　　者：曹珊珊[1] 周欢粉[1] 魏世辉[1] Cao Shanshan;Zhou Huanfen;Wei Shihui(Department of Ophthalmology,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心眼科,北京100853

出　　处：《中华眼科杂志》2021年第5期375-378,共4页Chinese Journal of Ophthalmology

基　　金：国家重点研发计划(2018YFE0113900)。

摘　　要：1例主诉为左眼视力下降1周;1例主诉为右眼视力减退2个月、结膜水肿10余天;1例主诉为双眼红肿1年,纳差、乏力4个月患者分别就诊眼科。3例患者均为男性,眼部检查均为双眼受累,2例表现为双眼泪腺肿大伴有球结膜水肿,1例为双眼眼睑肿胀,3例均伴有眶外组织受累,均诊断为IgG4相关眼病。经糖皮质激素冲击治疗后患者症状均好转,分别随访58、54、60个月,其中2例患者复发1次,1例患者复发3次。The first patient complained visual loss of left eye for 1 week.The second patient complained visual loss of right eye for 2 months with conjunctival edema for more than 10 days.The third patient complained redness and swelling of both eyes for 1 year,poor appetite and fatigue for 4 months.All three patients were male with binocular involvement.Enlargement of lacrimal glands in both eyes with bulbar conjunctival edema were observed in 2 patients and binocular eyelid swelling in 1 patient,all 3 patients were associated with external orbital tissue involvement,which were diagnosed as IgG4-related ophthalmic diseases.After treatment with glucocorticoid,the symptoms of the patients were improved,and the patients were followed up for 58,54,and 60 months,respectively.Among the 3 patients,2 had recurrence for once,and 1 had recurrence 3 for times.

关 键 词：免疫球蛋白G4相关疾病 免疫球蛋白G 泪器 眼睑疾病 眶疾病 

分 类 号：R593.2[医药卫生—内科学] R771.3[医药卫生—临床医学]