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目的:探讨急性后极部多发性鳞状色素上皮病变(APMPPE) 的发病原因。方法:用眼底荧光血管造影(FFA) 检查;患者血清免疫学检查。结果:4 例8 眼急性病变病灶早期为弱荧光,后期为强荧光。血清免疫球蛋白IgG、IgM 有不同程度升高,C3 、C4 有降低;5 例9 眼激素治疗效果良好。结论:本病为一种特殊的脉络膜炎性病变,可能与免疫有关。
Objective: To investigate the pathogenesis of acute posterior pole multiple squamous pigmented epithelial lesions (APMPPE). Methods: Fundus fluorescein angiography (FFA) examination; patient serum immunological examination. Results: The lesions in 4 cases of 8 acute lesions were weakly fluorescent in early stage and strongly fluorescent in late stage. Serum immunoglobulin IgG, IgM increased to varying degrees, C3, C4 have decreased; 5 cases of 9 eye hormone treatment is good. Conclusion: The disease is a special type of choroidal inflammatory lesions, which may be related to immunity.