Leib M L, Lester H, Braunstein R E, Edelson R L
Orbit and Plastics Service, Edward S. Harkness Eye Institute, Columbia-Presbyterian Medical Center, New York, NY 10032.
Ann Ophthalmol. 1991 May;23(5):182-6.
Seventeen patients with cutaneous T-cell lymphoma undergoing an investigative treatment regimen using extracorporeal photochemotherapy underwent ophthalmologic examinations to investigate the ocular findings in this disease. The most frequent finding was seborrheic blepharoconjunctivitis, which was noted in 13 of 17 patients. Other common lid findings included cicatricial ectropion, meibomianitis, chalazia, and madarosis. Corneal and conjunctival disease was also increased in this group of patients. The syndrome of cutaneous T-cell lymphoma has recently been redefined, and a discussion of the revised concept of this disease is included. Previous studies used the old definition of this disease and were limited to the subgroups of mycosis fungoides and Sezary syndrome, which comprise only one third of the cutaneous T-cell lymphoma population.
17例接受体外光化学疗法调查性治疗方案的皮肤T细胞淋巴瘤患者接受了眼科检查,以研究该疾病的眼部表现。最常见的表现是脂溢性睑结膜炎,17例患者中有13例出现此症状。其他常见的眼睑表现包括瘢痕性睑外翻、睑板腺炎、睑裂斑炎和睫毛脱落。该组患者的角膜和结膜疾病也有所增加。皮肤T细胞淋巴瘤综合征最近已被重新定义,本文还讨论了该疾病的修订概念。以往的研究使用的是该疾病的旧定义,并且仅限于蕈样肉芽肿和塞扎里综合征这两个亚组,而这两个亚组仅占皮肤T细胞淋巴瘤患者总数的三分之一。