Anisocoria secondary to antiperspirant wipes in a pediatric population: a case series

Autor:	Kimberly G. Yen, Alexis Moisiuc, Joseph Pecha, Adam Cantor
Rok vydání:	2022
Předmět:	Anisocoria medicine.medical_specialty Adolescent business.industry Mydriasis Glycopyrrolate Dermatology Ophthalmology Antiperspirants Pediatrics Perinatology and Child Health Humans Hyperhidrosis Medicine medicine.symptom Child business Pediatric population
Zdroj:	Journal of American Association for Pediatric Ophthalmology and Strabismus. 26:42-43
ISSN:	1091-8531
DOI:	10.1016/j.jaapos.2021.08.301
Popis:	Acute-onset anisocoria or mydriasis in children carries a broad differential diagnosis and includes both benign and life-threatening causes, ranging from systemic or topical drug use to peripheral or central nervous system disease. The topical anticholinergic agent glycopyrronium (approved by the Food and Drug Administration in June 2018) is used to treat hyperhidrosis. We present the first case series of pediatric patients presenting with acute mydriasis due to exposure to glycopyrronium wipes. Six cases (ages 12-16) were identified: 3 presented emergently and 3 to a primary care physician. Additional symptoms included blurry vision (4/6) and unilateral headache (1/6). In 3 cases, use of glycopyrronium wipes was not elicited initially, neuroimaging was obtained, and ophthalmology (2/3) or neurology (1/3) was consulted. One patient remained undiagnosed and presented emergently again 2 months later. In all patients, symptoms resolved without further treatment.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::128aa833d1aa3afad03a98aa266c4fae https://doi.org/10.1016/j.jaapos.2021.08.301 Zobrazit plný text záznamu Full Text from ScienceDirect