코우츠병, Coats’ disease

 

코우츠병, Coats’ disease

 

그림 135. 포도막-홍채+모양체+맥락막의 해부도

모양체, 쉴렘관, 위 눈꺼풀, 렌즈소대, 홍채, 수정체(렌즈), 각막, 전방, 후방, 눈썹, 아래 눈꺼풀, 안구 근육, 망막, 맥락막, 초자체, 시신경, 공막, 아래 결막, 망막 중심오목(망막 중심와)

Copyright ⓒ 2011 John Sangwon Lee, M.D., FAAP

• 원인은 확실히 모른다. 
• 유전병은 아니다. 
• 망막 모세혈관 확장증이 생기고 거기서 삼출성액이 망막과 맥락막 사이에 나오고 망막에 병변이 생긴다.
• 또 망막출혈, 망막박리도 생길 수 있다. 
• 보통 일칙성으로 생기고 남아에게 더 잘 생긴다. 
• 이 병은 때로는 진행성이고 진행성이 아닌 때도 있다. 
• 드물게는 성인에게도 생길 수 있다. 
• 안구 내 염증성 질환에 의해서 생긴다고 한다. 
• 사시도 생길 수 있고, 시력이 희미해지고 류코코리아도 생길 수 있다. 
• 과거 병력, 가족력, 증상 징후, 진찰 등을 종합해 진단할 수 있다. 
• 망막아종, 백혈병, 빈혈 등과 감별 진단해야 한다. 
• 광선 응고법이나 저온 냉동법으로 치료한다. 

Coats’ disease

Figure 135. Anatomical diagram of the uvea-iris + ciliary body + choroid Ciliary body, Schlemm’s canal, upper eyelid, lenticular ligament, iris, lens (lens), cornea, anterior, posterior, eyebrow, lower eyelid, ocular muscle, retina, choroid, vitreous body, optic nerve, sclera, inferior conjunctiva, central fovea (retina) fovea) Copyright ⓒ 2011 John Sangwon Lee, M.D., FAAP

• The cause is unknown

• It is not a hereditary disease.

• Retinal telangiectasia occurs, where exudative fluid is released between the retina and the choroid, causing a lesion in the retina. • Retinal hemorrhage and retinal detachment may also occur.

• It usually occurs as an anomaly and is more common in boys.

• The disease is sometimes progressive and sometimes non-progressive.

• Rarely, it can also occur in adults.

• It is said to be caused by an inflammatory disease in the eye.

• A perspective view may occur, vision may be blurred, and leuco-Korea may develop.

• Diagnosis can be made by combining past medical history, family history, symptom signs, and examination. • Differential diagnoses should be made with retinoblastoma, leukemia, and anemia.

• Treat with photocoagulation or low-temperature freezing.

• 제18권 소아청소년 이비인후과 질환 참조문헌 및 출처
• Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
• Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
• Gray’s Anatomy
• Habilitation of The handicapped Child, The Pediatric Clinics of North America, Robert H Haslam, MD.,
• Pediatric Otolaryngology Sylvan Stool
• Hearing Loss In children, The Pediatric Clinics of North America Nancy Roizen,MD and Allan O Diefendorf, PhD
• Recent Advances in Pediatric otolaryngology The Pediatric Clinics of North America
• Pediatric Otolaryngology. The Pediatric Clinics of North America, David Tunkel, MD., Kenneth MD Grundfast, MD

• Hearing Loss In children, The Pediatric Clinics of North America Nancy Roizen,MD and Allan O Diefendorf, PhD
• Pediatric Ophthalmology, The Pediatric Clinics of North America, Leonard B. Nelson, M.D.
• Pediatric Ophthalmology, The Pediatric Clinics of North America, Lois J. Martyn, M.D.
• Pediatric Ophthalmology, Edited by Robison D. Harley, M.D.
• The Pediatric Clinics of North America, David Tunkel, MD., Kenneth MD Grundfast, MD
• Atlas Pediatric Physical Diagnosis Frank A Oski

Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP

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“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances.

“Parental education is the best medicine.