临床误诊误治2024，Vol.37Issue(20)：6-9,4.DOI:10.3969/j.issn.1002-3429.2024.20.002
不典型慢性中心性浆液性脉络膜视网膜病变误诊分析
Misdiagnosis of Atypical Chronic Central Serous Chorioretinopathy
摘要
Abstract
Objective To discuss the clinical features of Cushing's syndrome complicated with chronic central serous chorioretinopathy(CSCR)and the causes of misdiagnosis.Methods The clinical data of a patient with Cushing's syndrome and chronic CSCR misdiagnosed as choroiditis were retrospectively analyzed.Results A 36-year-old obese female,with a history of depression and hypertension,was diagnosed with left choroiditis by specialized physical examination,laser fundus scanning,optical coherence tomography,fundus autofluorescence and fluorescein fundus angiography due to decreased visual acuity in her left eye for 1 year and aggravation for 2 months.After the injection of triamcinolone acetonide in the left eye,ad-ministration of Esculin and Digitalisglycosides Eye Drops into the left eye and the oral administration of Xuemingmu tablets,the symptoms did not improve significantly.After indocyanine green angiography(ICGA),the patient was diagnosed as chro-nic CSCR in both eyes in January 2023 at an ophthalmic center,and underwent bilateral retinal laser photocoagulation.She was diagnosed with Cushing's syndrome and right adrenal cortical adenoma(ACA)by relevant examinations.At 10-month fol-low-up after adrenalectomy for ACA the visual acuity showed certain improvement.Conclusion Cushing's syndrome compli-cated with atypical chronic CSCR is rare,and it is prone to misdiagnosis if merely local ocular symptoms are emphasized and systemic symptoms are ignored.It is necessary to strengthen the understanding of chronic CSCR,timely update and consoli-date the relevant theoretical knowledge,and improve the ability to distinguish between various fundus diseases,so as to ensure early detection,early diagnosis,and early diagnosis.关键词
中心性浆液性脉络膜视网膜病变/库欣综合征/误诊/脉络膜炎/鉴别诊断Key words
Central serous chorioretinopathy/Cushing's syndrome/Misdiagnosis/Choroiditis/Differential diagnosis分类
临床医学引用本文复制引用
黄丽娟,彭素银,刘彬泉,邓智祥,王秀琴,张秋丽..不典型慢性中心性浆液性脉络膜视网膜病变误诊分析[J].临床误诊误治,2024,37(20):6-9,4.基金项目
广东省医学科学技术研究基金(A2020591) （A2020591）
