斑驳状

Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome

目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析，并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography，FFA)、吲哚青绿血管造影(indocyanine green angiography，ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例，73.5%)，双眼同时患病118例(80.8%)；后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%)；前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例，98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%)；后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障；毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现；炎症活动期FFA典型表现为斑驳状高荧光，ICGA发现脉络膜血管扩张、通透性增高等改变；VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎，随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。

This is a granulosa cell tumor of ovary with a variegated cut surface.

这是卵巢颗粒细胞瘤的切面呈色彩斑驳状。

Post-contrast images show mild peripheral and septal enhancement typical of chondroid lesions, which have been described as variegated or having a "pepper-and-salt" appearance.

典型的软骨肉瘤增强扫描显示轻度外周和间隔强化。这被描述为斑驳状或胡椒加盐征。

The typi ca1 symptom j s fold and b1 istering, even d istortj on, 1ops i ded j -- eaf, shorti ng p ant, there are motley with 1ight green and deep green, and some of the motey are ye1wt MM 1eave M tny: the i.1--1ed has arias mosai c, 1ops i ded, and the tissue of the i11--1eaf has deteriorated exceeding1y, with s1ender pteridophyte 1.eaves, i l1 p1ant is green--yeI 1ow, obvious1y shortened in joint, the who1e p1ant serious1y shortened and grows thickly.

南瓜病毒病的典型症状为皱缩有疱斑、甚至扭曲，病叶畸形，植株矮化；花叶叶片上出现淡绿色和深绿色相间的斑驳，有的斑驳明显黄化；蕨叶丛枝型：病叶不但严重花叶、畸形，而且叶肉组织极度退化，纤细呈蕨叫叶状，病株黄绿色，节间明显缩短，整个植株严重矮化丛枝状。

Blisters develop and the skin takes on an intensely reddened, splotchy appearance.

有水泡产生，皮肤呈深红，斑驳状。

Among them, 18 lesions were lobar or segmental. The major causes of the filling defects were portal vein invasions or thromboses (10), laminar flows (11), and arterioportal shunts (8). Nine patients had diffuse and mottled filling defects.

楔形灌流缺损的主要原因为肝门脉侵犯或栓塞（10处），薄层血流（11处），和动脉门静脉交流（8处）。9位病人则呈现散在斑驳状的灌流缺损，其中有7位病人与肝硬化有关。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。