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特应性皮炎的眼部表现,特别提及特应性白内障的临床特征

Ocular findings in atopic dermatitis with special reference to the clinical features of atopic cataract.

作者信息

Amemiya T, Matsuda H, Uehara M

出版信息

Ophthalmologica. 1980;180(3):129-32. doi: 10.1159/000308965.

Abstract

44 patients with atopic dermatitis who had had active generalized skin lesions, especially of the face, following transient remission after eczema in infancy were examined ophthalmologically. Their ocular findings have been correlated with the clinical features of atopic dermatitis. 25% of the patients with this clinical course had cataracts. However, the clinical features of the patients without cataracts were almost the same as those of the patients with. Thus, cataracts in patients with atopic dermatitis may not be due to the clinical symptoms and course but to other factors such as genetic, as in the case of asthma. Lenticular opacities were present in the posterior subcapsule in 50%, in the anterior subcapsule in 25% and throughout the lens in 12.5%. 2 patients with total lens opacities had shown rapid progression at the time of exacerbation of the skin lesions. Chronic conjunctivitis was found in 31.8%, superficial keratitis in 6.8% and retinal detachment in 2%.

摘要

对44例患有特应性皮炎的患者进行了眼科检查,这些患者在婴儿期湿疹短暂缓解后出现了活动性全身皮肤病变,尤其是面部病变。他们的眼部检查结果与特应性皮炎的临床特征相关。有这种临床病程的患者中25%患有白内障。然而,没有白内障的患者的临床特征与有白内障的患者几乎相同。因此,特应性皮炎患者的白内障可能不是由于临床症状和病程,而是由于其他因素,如遗传因素,就像哮喘的情况一样。晶状体混浊50%出现在后囊下,25%出现在前囊下,12.5%出现在整个晶状体。2例晶状体完全混浊的患者在皮肤病变加重时显示出快速进展。发现31.8%的患者患有慢性结膜炎,6.8%的患者患有浅层角膜炎,2%的患者患有视网膜脱离。

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