Abstract:
:Granulomatosis with polyangiitis (GPA), formerly earlier known as Wegener's granulomatosis, is primary system necrotizing vasculitis of small and medium-sized vessels, which is characterized by the formation of foci of granulomatous inflammation. One of the target organs in GPA is the organ of vision. Its affection may not only reduce quality of life, but also may lead to the severest complications even to fatal outcome. The affection varies in severity from slight inflammation of the ocular superficial structures to severe involvement of all orbital and ocular structures to develop complete blindness, including bilateral one. GPA can affect any portion of the organ of vision. The changes are low specific, which makes early diagnosis and timely adequate therapy difficult. Overall all ophthalmologic manifestations can be divide into 4 groups: 1) lesions of the orbit and appendages; 2) those of the conjunctiva and fibrous tunic of the eyeball: 3) those of the retina: 4) those of the optic nerve. Orbital affection is characterized by the development of granulomas, dacryoadenitis with marked inflammatory infiltration of the surrounding tissues, including oculomotor muscles, and destruction of orbital bony walls. Nonspecific conjunctivitis and episcleritis are commonly encountered. Affection of the fibrous tunic of the eyeball is characterized by the development of necrotizing scleritis, peripheral ulcerative or stromal keratitis. The retina is rarely involved and mainly described as sporadic cases in the literature. The optic nerve is most commonly damaged due to the compression of the orbit by inflamed tissue; the lesion is more infrequently ischemic. :Гранулематоз с полиангиитом (ГПА), ранее известный как гранулематоз Вегенера, - первичный системный некротизирующий васкулит сосудов мелкого и среднего калибров, характеризующийся развитием очагов гранулематозного воспаления. Одним из органов-мишеней при ГПА является орган зрения. Поражение его может не только существенно снижать качество жизни пациента, но и в редких случаях приводить к тяжелейшим осложнениям вплоть до летального исхода. Тяжесть поражения варьирует от незначительного воспаления поверхностных структур глаза до тяжелого вовлечения всех структур глазницы и глаза с развитием полной слепоты, в том числе двусторонней. При ГПА поражаться может любой отдел органа зрения. Изменения малоспецифичны, что затрудняет раннюю диагностику и своевременное назначение адекватной терапии. В целом все офтальмологические проявления можно разделить на 4 группы: поражение глазницы и придаточного аппарата, поражение конъюнктивы и фиброзной оболочки глазного яблока, поражение внутренних оболочек глазного яблока и поражение зрительного нерва. Поражение глазницы характеризуется развитием гранулем, дакриоаденита с выраженной воспалительной инфильтрацией окружающих тканей, в том числе глазодвигательных мышц, деструкцией костных стенок глазницы. Нередко встречаются неспецифические конъюнктивиты, эписклериты. Поражение фиброзной оболочки характеризуется развитием некротизирующего склерита, периферического язвенного или стромального кератитов. Внутренние оболочки глазного яблока поражаются редко и в литературе в основном описаны единичные случаи. Зрительный нерв чаще всего страдает в результате компрессии воспаленными тканями глазницы, реже поражение имеет ишемический характер.
journal_name
Ter Arkhjournal_title
Terapevticheskii arkhivauthors
Grusha YO,Ismailova DS,Novikov PI,Abramova YVdoi
10.17116/terarkh20158712111-116subject
Has Abstractpub_date
2015-01-01 00:00:00pages
111-116issue
12eissn
0040-3660issn
2309-5342journal_volume
87pub_type
杂志文章,评审abstract:AIM:to study the nature of pain in hemophilic arthropathy and its prevention ways used by patients with hemophilia. SUBJECTS AND METHODS:A prospective, multicenter, cross-sectional study was conducted to interview 136 patients with hemophilia A or B. The survey included 32 points, including questions about drug and no...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,多中心研究
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abstract:AIM:To investigate the impact of menopausal hormone therapy (MHT) on the expression of risk factors for cardiovascular events (CVEs) in patients with Shereshevsky-Turner syndrome (STS); to elaborate an algorithm for patient management using MHT. SUBJECTS AND METHODS:From 2010 to 2012, a total of 41 patients aged 14 to...
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::The paper is concerned with the data on the brain stroke incidence and lethality among the population aged 25-64 years in 3 districts of Moscow during 1985. The rate of brain stroke was noted to be increased with age without any essential differences in the indicators in men and women. Comparison of the results of the...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::This article presents evidence of the prevalence of gastroesophageal reflux disease (GERD) and highlights its main treatment options. Among its medications, particular emphasis is laid on alginates and their main mechanisms of action are described. There is information on the efficacy of alginates, including the algin...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,评审
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更新日期:2015-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:10.26442/00403660.2019.05.000234
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journal_title:Terapevticheskii arkhiv
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更新日期:1984-01-01 00:00:00
abstract:AIM:To review diagnostic approaches in chronic diseases of the small intestine. MATERIAL AND METHODS:A total of 1096 patients with chronic diseases of the small intestine were admitted to the clinic of the Central Research Institute of Gastroenterological Diseases in 1987-2006. RESULTS:Most of the patients (90.5%) ha...
journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2008-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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journal_title:Terapevticheskii arkhiv
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract:AIM:The primary objective of this study was to describe clinical, virusological and immunological characteristics of hospitalised HIV-infected patients, who had different stages of the disease. MATERIALS AND METHODS:This study was conducted at Moscow Infectious Diseases Hospital №2 in 2012-2015. We have clinically obs...
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更新日期:2012-01-01 00:00:00
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更新日期:2010-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Altogether 84 patients with duodenal ulcer were examined for a study of mesenchyma function. The blood level of oxyproline, the system of histamine-histaminase-histaminopexic index, and the level of serotonin before and after treatment were studied. The level of IgG, A, M and the amount of T- and B-lymphocytes were de...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
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journal_title:Terapevticheskii arkhiv
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pub_type: 临床试验,杂志文章
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更新日期:2002-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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更新日期:1995-01-01 00:00:00
abstract::The lecture is devoted to the analysis of the state-of-the-art of the impact of genetic diversity of human immunodeficiency (HIV) viruses on the pattern of infection and the efficiency of antiretroviral therapy (ART). It provides brief information on the origin and evolution of HIV and on the current classification of...
journal_title:Terapevticheskii arkhiv
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更新日期:2016-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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