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2019, Number 03

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MediSan 2019; 23 (03)

Bilateral corneal ulcer in an old man with pemphigus vulgaris

Silva CTY, Duperet CD, Rinconcillo MG
Full text How to cite this article

Language: Spanish
References: 7
Page: 526-533
PDF size: 859.70 Kb.


Key words:

corneal ulcer, pemphigus vulgaris, corneal perforation, antibiotic eyewash, immunosupressors agents.

ABSTRACT

The case report of a 72 years patient is described, with diagnosis of pemphigus vulgaris who went to the Ophthalmology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba because he suffered from ocular redness, together with a decrease vision and abundant secretions of approximately 5 days of history. In the ophthalmological examination the presence of bilateral corneal ulcer was confirmed due to infectious perforation. Treatment was indicated with antibiotic eyewashes (ceftazidime and amikacine), non esteroidal anti-inflammatory drugs, antihypertensive agents and contact lens, with which the injuries of both eyes improved. The infectious process could be due to certain susceptibility to the steroids and systemic inmunosupressors, as therapy associated with pemphigus vulgaris, or to the autoinmune mechanism characterizing this dermatopathy.


REFERENCES

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  2. Peña Pérez ML, Saucedo Rodríguez LR, Jauregui Franco R, Zepeda Rea M, Aguilera Partida J. Pénfigo ocular. Diagnóstico histopatológico. Rev Méd. 2017 [citado 15/03/2018];9(1):85-8. Disponible en: https://www.medigraphic.com/pdfs/revmed/md-2017/md171q.pdf

  3. Hrabovska Z, Jautova J, Hrabovsky V. A study of Clinical, histopathological and direct Immunofluorescence diagnosis in pemphigus group Utility of direct immunofluorescence; Bratisl Med J. 2017 [citado 15/03/2018];118(4):243-9. Disponible en: http://www.elis.sk/download_file.php?product_id=5191&session_id=h30mop2appvfpn46i7l7n8ud24

  4. Álvarez Guzmán C, Alonso González González L, Rodríguez García A. Queratolisis en pénfigo vulgar. Presentación de un caso. Rev Mex Oftalmol. 2010 [citado 15/03/2018];84(1):61-4. Disponible en: http://www.medigraphic.com/pdfs/revmexoft/rmo-2010/rmo101k.pdf

  5. José-Gutiérrez Y, Borque-Ibañez A, Baquedano-Mainar L, Del Agua-Arias C, v Ruiz-Conde MA. Pénfigo vulgar: dificultad en el diagnóstico de un tipo de dermatosis vulvar poco frecuente. Reporte de un caso. Ginecol Obstet Mex. 2017 [citado 18/11/2018];85(8). Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2017/gom178i.pdf

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MediSan. 2019;23