Hepatitis C–Associated Peripheral Corneal UlcerationRapid Response to Intravenous Steroids
作者:
Daniel Pluznik,
Salim Butrus,
期刊:
Cornea
(OVID Available online 2001)
卷期:
Volume 20,
issue 8
页码: 888-889
ISSN:0277-3740
年代: 2001
出版商: OVID
关键词: Corneal ulcer;Mooren's ulcer;Steroids
数据来源: OVID
摘要:
Purpose.We present a case of peripheral corneal ulceration in a patient with hepatitis C, which rapidly and dramatically responded to intravenous steroid treatment.Methods.Clinical examination and photographs were obtained to document initial presentation and therapeutic response of Mooren's-type ulcers to steroids.Results.Bilateral peripheral corneal ulceration with documented progression responded to intravenous administration of steroids within 5 days.Conclusion.Previous reports of Mooren's-type ulcers in patients with chronic hepatitis C have shown a response to interferon alfa-2b, but not to oral corticosteroid therapy. Given the medical contraindications to interferon use in selected patients and the cost, we suggest a trial of high-dose systemic steroids as a possible therapy.
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