医学
重叠感染
皮肤病科
眼睑
特应性皮炎
角膜溃疡
角膜炎
外科
角膜
眼科
病毒学
病毒
作者
Kim David Plattner,Markus Tschopp,Margarita G. Todorova
出处
期刊:Klinische Monatsblatter Fur Augenheilkunde
[Georg Thieme Verlag KG]
日期:2018-03-28
卷期号:235 (04): 445-447
被引量:1
标识
DOI:10.1055/s-0044-101011
摘要
Abstract Background Superinfection of atopic dermatitis due to a disturbed skin barrier is well known. Still, affected eyelids with ulceration are rarely described. We present a case series of three patients in different stages of upper eyelid superinfection. History and Signs Three males aged 58, 37, and 52 years with clinical symptomatology of gradual expansion of eyelid ulcerations, crusts, and pus were evaluated. In all cases a standard ophthalmologic examination, including a detailed neuro-ophthalmological status, was performed. Consequently, a skin swab was obtained. Therapy and Outcome The completed neuro-ophthalmological status and posterior segment findings were unremarkable in all patients. The skin swab results confirmed the presence of Streptococcus pyogenes, Staphylococcus epidermidis, and Staphylococcus aureus, thus necessitating antibiotic therapy. Conclusions Superinfected atopic dermatitis can develop massive ulcerations, indicating a swap and empiric therapy. A complete neuro-ophthalmological status is mandatory to exclude the possibility of orbital involvement. Nevertheless, any paradoxical worsening of symptomatology indicates further referral to a dermatologist.
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