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印度艾哈迈达巴德一家三级医院各类常见皮肤病中眼部表现的患病率

The Prevalence of Ocular Manifestations in the Various Types of Common Skin Disorders at Tertiary Hospital in Ahmedabad, India.

作者信息

Damor Vijaykumar M, Gosai Anupama J, Ipli Shabnam G

机构信息

Ophthalmology, AMC MET Medical College/ Sheth L.G. General Hospital, Ahmedabad, IND.

出版信息

Cureus. 2022 Jun 12;14(6):e25881. doi: 10.7759/cureus.25881. eCollection 2022 Jun.

Abstract

Aim The article aims to study the prevalence and ocular manifestations of the various types of common skin disorders at a tertiary hospital in Ahmedabad, India.  Materials and methods Five hundred patients were studied in the ophthalmology department from September 2017 to September 2019. Results Out of the 500 patients that were included in our study, 312 were males, and 188 were females. In our study, lid involvement was seen most commonly in patients with herpes zoster ophthalmicus (HZO). Plexiform neurofibroma was seen in eight (14.5%) patients with neurofibromatosis (NF). Cicatricial ectropion was found in half of the patients with ichthyosis. Lagophthalmos was present in 10 (20.4%) patients with leprosy. Conjunctivitis was seen commonly in HZO patients. Papillary conjunctivitis was seen in half of the atopic dermatitis cases. Steven Johnson's syndrome (SJS) was associated with pseudomembranous conjunctivitis. Conjunctival xerosis was seen only in patients with Sjogren's syndrome. The cornea was most commonly involved in patients of HZO. Decreased corneal sensation was seen in leprosy and HZO. Lisch nodules were seen in NF cases. Anterior uveitis was found in seven (6.3%) patients with HZO. Glaucoma was seen most commonly in patients with Sturge Weber syndrome (SWS), followed by leprosy. Facial nerve palsy was seen in patients with leprosy. Episcleritis was seen in patients with leprosy and SWS. Conclusion We conclude that ocular involvement in skin disease is a common feature and could be a major component of the development of various systemic skin disorders.

摘要

目的 本文旨在研究印度艾哈迈达巴德一家三级医院各类常见皮肤疾病的患病率及眼部表现。材料与方法 2017年9月至2019年9月在眼科对500例患者进行了研究。结果 在我们纳入研究的500例患者中,男性312例,女性188例。在我们的研究中,睑受累最常见于眼部带状疱疹(HZO)患者。8例(14.5%)神经纤维瘤病(NF)患者出现丛状神经纤维瘤。鱼鳞病患者中有一半出现瘢痕性睑外翻。10例(20.4%)麻风患者存在兔眼。HZO患者常见结膜炎。特应性皮炎病例中有一半出现乳头性结膜炎。史蒂文斯-约翰逊综合征(SJS)与假膜性结膜炎有关。结膜干燥症仅见于干燥综合征患者。角膜受累最常见于HZO患者。麻风病和HZO患者角膜感觉减退。NF病例可见Lisch结节。7例(6.3%)HZO患者出现前葡萄膜炎。青光眼最常见于斯-韦综合征(SWS)患者,其次是麻风患者。麻风患者出现面神经麻痹。麻风患者和SWS患者出现巩膜炎。结论 我们得出结论,皮肤疾病的眼部受累是一个常见特征,可能是各种系统性皮肤疾病发展的主要组成部分。

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