A 14-year-old girl with recurrent blepharon-conjunctivitis was presented to the dermatology dept, with complaints of discrete papules and pustules on both cheeks and visible blepharitis and conjunctivitis. She had H/o recurrent red eyes for 2-3 years. In addition, the patient complained of painful foreign body sensations in the eyes, photophobia, and tearing.
Ophthalmologic examination of the girl confirmed severe bilateral blepharitis and a corneal infiltrate in the right eye with additional neovascularization, as shown in the figure. After diagnosis, the treatment was started antibiotic and steroidal ointment on the lower lid.
In addition to the existing topical therapy of the eye, systemic treatment with minocycline was started—this marked improvement of her skin lesions and the ocular involvement after several weeks. After three months, a maintenance dose with anti-inflammatory therapy was initiated and continued for one year.
Like
Answers
Save
Share