汎ぶどう膜炎とレグマトゲン性網膜剥離を合併したスウィート症候群の1例

A Case Report of Sweet's Syndrome with Panuveitis and Rhegmatogenous Retinal Detachment.

• Wenjuan Wang
• Xin Wang
• Hongran Zhao
• Yan Cui

抄録

:両眼に汎ぶどう膜炎を呈したSweet症候群の1例を報告する。Retrospective interventional case report.54歳の中国人男性が発熱、疼痛性皮膚病変、両眼のぼやけた視力を4日間訴えた。視力は両眼とも手の動きであった。スリットランプ検査で両眼に眼瞼下垂と重度の硝子体混濁を認めた．頭部皮膚病変の皮膚病理検査では真皮にびまん性好中球浸潤が認められ，核出血が認められた．以上の検査からSweet症候群と診断され，全身性副腎皮質ステロイド療法を施行した．しかし、治療中に右眼に二次性の網膜裂孔性網膜剥離を発症した。両側性ぶどう膜炎とSweet症候群との関連については、本報告に記載されている。

: To report a case of a patient who suffered from Sweet's syndrome with panuveitis in both eyes.: Retrospective interventional case report.: A 54-year-old Chinese male patient complained of fever, painful skin lesions and blurry vision in both eyes lasting for 4 days. His visual acuity was hand motion in both eyes. Slit-lamp examination showed the hypopyon and severe vitreous opacification in both eyes. A skin pathology from head skin lesion demonstrated diffuse neutrophilic infiltration in the dermis with karyorrhexis. Based on the inspection above, the patient was diagnosed with Sweet's syndrome and given systemic corticosteroids therapy. However, he developed secondary rhegmatogenous retinal detachment in the right eye during his treatment.: The association of bilateral uveitis with Sweet's syndrome has been described in this report.