Peripheral ulcerative keratitis secondary to severe hidradenitis suppurativa.

Autor: Dallalzadeh LO; UC San Diego Viterbi Family Department of Ophthalmology, Shiley Eye Institute, La Jolla, CA, USA., Ang MJ; UC San Diego Viterbi Family Department of Ophthalmology, Shiley Eye Institute, La Jolla, CA, USA., Beazer AP; UC San Diego Viterbi Family Department of Ophthalmology, Shiley Eye Institute, La Jolla, CA, USA., Spencer DB; UC San Diego Viterbi Family Department of Ophthalmology, Shiley Eye Institute, La Jolla, CA, USA., Afshari NA; UC San Diego Viterbi Family Department of Ophthalmology, Shiley Eye Institute, La Jolla, CA, USA.
Jazyk: angličtina
Zdroj: American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2022 Feb 05; Vol. 25, pp. 101403. Date of Electronic Publication: 2022 Feb 05 (Print Publication: 2022).
DOI: 10.1016/j.ajoc.2022.101403
Abstrakt: Purpose: To describe a unique case of peripheral ulcerative keratitis secondary to isolated, severe hidradenitis suppurativa (HS).
Observation: A 31-year-old male with HS presented with a red painful right eye with best corrected visual acuity of count fingers at 3 feet with peripheral corneal thinning, inferior descemetocele, and adjacent infiltrate. Work-up revealed negative corneal cultures and positive ANA, ANCA, and rheumatoid factor without other autoimmune or rheumatologic history or symptomatology. He was treated with topical corticosteroids with improvement until he was lost to follow-up before tumor necrosis factor-a inhibitor therapy could be started. Upon re-presentation, he was found to have corneal perforation.
Conclusions and Importance: Coexistence of inflammatory eye disease and HS is known but rare, and most commonly manifests as anterior uveitis. Here we present a unique case of peripheral ulcerative keratitis secondary to HS and demonstrate the importance of ophthalmologists' familiarly with this systemic disease and its variety of ocular manifestations.
Competing Interests: None.
Databáze: MEDLINE
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