当妇产科专家需要紧急呼叫眼科医生时：病例报告,Journal of Medical Case Reports

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当妇产科专家需要紧急呼叫眼科医生时：病例报告
Journal of Medical Case Reports ( IF 0.9 ) Pub Date : 2021-10-21 , DOI: 10.1186/s13256-021-03087-8
S Masmejan ₁ , Y Guex-Crosier ₂ , C Diserens ₁ , M Vouga ₁ , A S Clottu ₃ , C Ribi ₃ , P Mathevet ₁ , M Jacot-Guillarmod ₁

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我们在此报告一例健康的 23 岁女性患者，她在妇科急诊科接受了生殖器溃疡、发烧和视力模糊的评估。在怀疑单纯疱疹病毒 2 病变后，作出白塞氏病的诊断。我们报告此病例的目的是将 Behçet 病纳入生殖器溃疡的鉴别诊断中，并强调不可逆转的视力丧失的紧急情况。一名健康的 23 岁欧洲女性患者在急诊科接受妇科检查，检查是否存在与发烧和视力模糊相关的生殖器病变。起初，这些病变被怀疑是原发性单纯疱疹病毒2型感染。一天后，她的双眼视力下降。在生殖器溃疡恶化和持续视力模糊 4 天后，病人被转诊到眼科。眼底镜检查显示视网膜出血，这与 Behçet 病的首次表现一致。该病例表明，生殖器溃疡可能是这种眼科急症的最初症状。生殖器溃疡的鉴别诊断具有挑战性。白塞氏病应包括在内，尤其是当与全身或眼部表现相关时，应将其视为妇科医生的紧急情况，以防止长期视力丧失。生殖器溃疡的鉴别诊断具有挑战性。白塞氏病应包括在内，尤其是当与全身或眼部表现相关时，应将其视为妇科医生的紧急情况，以防止长期视力丧失。生殖器溃疡的鉴别诊断具有挑战性。白塞氏病应包括在内，尤其是当与全身或眼部表现相关时，应将其视为妇科医生的紧急情况，以防止长期视力丧失。

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When obstetrics–gynecology specialists need to call an ophthalmologist urgently: a case report

We report here a case of a healthy 23-year-old female patient who was assessed at the gynecology emergency department for genital ulcers, fever, and blurred vision. After suspicion of herpes simplex virus-2 lesions, the diagnosis of Behçet’s disease was made. We report this case with the aim of including Behçet’s disease in the differential diagnosis of genital ulcers, and emphasize the emergency of the vision loss that can be irreversible. A healthy 23-year-old European female patient was assessed by gynecology in the emergency department for genital lesions associated with fever and blurred vision. At first, these lesions were suspected to be primary herpes simplex virus-2 infection One day later, she experienced decreased visual acuity in both eyes. After 4 days of worsening genital ulcers and persistent blurred vision, the patient was referred to the ophthalmology department. Fundoscopic examination showed retinal hemorrhages that were consistent with the first presentation of Behçet’s disease. This case demonstrates that genital ulcers can be the very initial symptom of this ophthalmologic emergency. The differential diagnosis of genital ulcers is challenging. Behçet’s disease should be included, especially when associated with systemic or ocular manifestations, and should be considered an emergency for the gynecologist to prevent long-term vision loss.

更新日期：2021-10-21

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