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1941年knapp 首次报告白塞氏病引起神经系统并发症,此后又有一些中枢神经系统受累的病例报告,而周围神经受累较少见。作者报导一例。患者,女性,46岁,因口腔溃疡,右眼虹膜睫状体炎及生殖器溃疡8年,病情加重伴双下肢无力及感觉异常二年。既往曾诊断为白塞氏病。并经皮质激素和免疫抑制剂治疗。查体:口腔、生殖器溃疡,右眼虹膜睫状体炎而失明。眼底发现左眼视神经萎缩,玻璃体混浊及新近发生的虹膜睫状体炎伴前房积脓。下肢远段肌力下降50~60%,膝以下肌
1941 Knapp first reported Behcet’s disease caused by neurological complications, then there are some cases of central nervous system involvement reported, and peripheral nerve involvement is rare. The author reports an example. Patients, female, 46 years old, due to oral ulcers, right eye iridocyclitis and genital ulcers for 8 years, aggravated with bilateral lower limb weakness and sensory abnormalities for two years. Previously diagnosed as Behcet’s disease. And corticosteroids and immunosuppressive agents. Physical examination: oral, genital ulcers, right eye iridocyclitis and blindness. Fundus left optic nerve atrophy found, vitreous opacity and recent iridocyclitis with hypopyon. Lower limb muscle strength decreased by 50 to 60%, below the knee muscles