2019, Number 03
Bilateral corneal ulcer in an old man with pemphigus vulgaris
Language: Spanish
References: 7
Page: 526-533
PDF size: 859.70 Kb.
ABSTRACT
The case report of a 72 years patient is described, with diagnosis of pemphigus vulgaris who went to the Ophthalmology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba because he suffered from ocular redness, together with a decrease vision and abundant secretions of approximately 5 days of history. In the ophthalmological examination the presence of bilateral corneal ulcer was confirmed due to infectious perforation. Treatment was indicated with antibiotic eyewashes (ceftazidime and amikacine), non esteroidal anti-inflammatory drugs, antihypertensive agents and contact lens, with which the injuries of both eyes improved. The infectious process could be due to certain susceptibility to the steroids and systemic inmunosupressors, as therapy associated with pemphigus vulgaris, or to the autoinmune mechanism characterizing this dermatopathy.REFERENCES
Pinilla García XA. Estudio de las características clínicas y epidemiológicas de los pacientes con enfermedades ampollosas autoinmunes en un hospital de tercer nivel de Bogotá [tesis]. Bogotá: Universidad Nacional de Colombia; 2016 [citado 15/03/2018]. Disponible en: http://bdigital.unal.edu.co/55707/1/1019013841.2017.pdf
Hrabovska Z, Jautova J, Hrabovsky V. A study of Clinical, histopathological and direct Immunofluorescence diagnosis in pemphigus group Utility of direct immunofluorescence; Bratisl Med J. 2017 [citado 15/03/2018];118(4):243-9. Disponible en: http://www.elis.sk/download_file.php?product_id=5191&session_id=h30mop2appvfpn46i7l7n8ud24
José-Gutiérrez Y, Borque-Ibañez A, Baquedano-Mainar L, Del Agua-Arias C, v Ruiz-Conde MA. Pénfigo vulgar: dificultad en el diagnóstico de un tipo de dermatosis vulvar poco frecuente. Reporte de un caso. Ginecol Obstet Mex. 2017 [citado 18/11/2018];85(8). Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2017/gom178i.pdf