Pokharel A, Subedi S, Bajracharya M
Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.
Nepal J Ophthalmol. 2010 Jan-Jun;2(1):71-3. doi: 10.3126/nepjoph.v2i1.3709.
Periphpral ulcerative keratitis (PUK) is a disorder consisting of a crescent-shaped destructive inflammation of the perilimbal corneal stroma.
We present a case of PUK following acute bacterial conjunctivitis in a 60-year-old lady with a history of on-and-off joint pain for two years. After admission to the hospital, she underwent conjunctival resection and was given topical and oral steroids. She was prescribed hydroxychloroquine after confirming the diagnosis of rheumatoid arthritis with a positive RA factor.
This report highlights the role of infection as a triggeringagent in the induction of PUK in an otherwise quiescent cornea.
周边溃疡性角膜炎（PUK）是一种由角膜缘角膜基质新月形破坏性炎症组成的疾病。
我们报告一例60岁女性在急性细菌性结膜炎后发生PUK的病例，该患者有两年间歇性关节疼痛病史。入院后，她接受了结膜切除术，并给予局部和口服类固醇治疗。在类风湿因子呈阳性确诊类风湿关节炎后，她被开了羟氯喹。
本报告强调了感染作为触发因素在原本静止的角膜中诱发PUK的作用。
