혈액학적 이상과 동반된 급성 구후시신경염

• 영문명: Acute Retrobulbar Optic Neuritis with Hematologic Abnormalities
• 발행기관: 대한안과학회
• 저자명: 박시윤 강은민 이윤하 김찬윤 성공제 홍사민,Si Yoon Park, MD, Eun Min Kang, MD, Yun Ha Lee, MD, Chan Yun Kim, MD, PhD, Gong Je Seong, MD, PhD, Samin Hong, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number10, 1567~1572쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.10.15

영문 초록

Purpose: We present a case of a patient with optic neuritis who had underlying suspicious idiopathic thrombocytopenic purpura.Case summary: A 35-year-old female with no other systemic disease visited our clinic due to acutely decreased visual acuity in her left eye 10 days in duration. Relative afferent pupillary defect was observed, but without definite papilledema. Based on brain magnetic resonance imaging (MRI), optic neuritis was suspected. Laboratory tests showed increased red blood cells, hemoglobin and, hematocrit levels and decreased platelets. Peripheral blood smear test showed decreased platelets, relative lymphocytosis and atypical lymphocytes. Specific antibodies for autoimmune disease were not present. High-dose steroid pulse therapy (methyl prednisolone 1.0 g/d, 3 days) was started. One month after treatment her visual acuity and platelet count recovered and her visual field defect improved. J Korean Ophthalmol Soc 2014;55(10):1567-1572

키워드

Autoimmune disease, Idiopathic thrombocytopenic purpura, Multiple sclerosis, Neuromyelitis optica, Optic neuritis