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TitelCicatricial pemphigoid misleaded with an atopic dermatitis. A case report
DoelA case of cicatricial pemphigoid in a patient with bilateral chronic conjunctivitis associated with oral and cutaneous lesions is described. The previous diagnosis was an infected atopic dermatitis.
MethodesOphthalmological, biological and immunopathological findings are described in a 70-year-old women.
ResultatenSlit lamp examination revealed a bilateral conjunctivitis, a small ulceration of the internal cantus of the right eye and punctal occlusion on both eyes. Smears performed on the eyelids and conjunctiva were negative. Circulating anti-basement membrane antibody and allergic tests on blood samples were negative as well. The conjunctival biopsy showed dermo-epidermic IG-G, IG-A and C3 linear and continuous deposits on immunofluorescent staining.
ConclusieCicatricial pemphigoid is a devastating disease leading to blindness in the absence of treatment. The diagnosis is mainly based on immunopathological findings. This case of conjunctivitis associated with skin disease of unknown etiology highlights the importance of biopsy.
Auteur 1
NaamKISMA
InitialenN
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 2
NaamWIAUX
InitialenC
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 3
NaamPARENT
InitialenD
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 4
NaamSCHROOYEN
InitialenM
InstituutHOPITAL ERASME
StadBRUXELLES
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