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表现为不对称性后部睑缘炎的盘状红斑狼疮。

Discoid lupus erythematosus presenting as asymmetric posterior blepharitis.

作者信息

Gloor P, Kim M, McNiff J M, Wolfley D

机构信息

Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT 06520-8061, USA.

出版信息

Am J Ophthalmol. 1997 Nov;124(5):707-9. doi: 10.1016/s0002-9394(14)70920-1.

DOI:10.1016/s0002-9394(14)70920-1
PMID:9372736
Abstract

PURPOSE

To describe the ophthalmic findings of patients with discoid lupus erythematosus.

METHOD

We describe two women who originally were thought to have asymmetric posterior blepharitis; however, the involved eyelid also had an erythematous, scaly cutaneous lesion.

RESULT

In both patients, histology and immunofluorescence studies performed on cutaneous biopsy specimens established the diagnosis of discoid lupus erythematosus.

CONCLUSIONS

It is important to diagnose discoid lupus of the eyelids because misdiagnosis can delay treatment and thus lead to deformities of the eyelid margin. Misdiagnosis can also lead to a complicated full-thickness eyelid biopsy and delay the diagnosis of systemic lupus erythematosus.

摘要

目的

描述盘状红斑狼疮患者的眼科表现。

方法

我们描述了两名最初被认为患有不对称性后部睑缘炎的女性;然而,受累眼睑还伴有红斑、鳞屑性皮肤病变。

结果

在两名患者中,对皮肤活检标本进行的组织学和免疫荧光研究确诊为盘状红斑狼疮。

结论

诊断眼睑盘状红斑狼疮很重要,因为误诊会延误治疗,进而导致睑缘畸形。误诊还可能导致复杂的全层眼睑活检,并延误系统性红斑狼疮的诊断。

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