Monday, January 30, 2012

Abstract: Pediatric ocular rosacea

GREAT reminder not to miss this possible diagnosis even in kids!

Pediatric ocular rosacea: 2 cases.

To report the clinical course of 2 pediatric ocular rosacea cases with a significant delay until diagnosis.

We report 2 interventional case reports. Case 1 is a 10-year-old boy with 2 years of recurrent bilateral blepharitis, repetition chalazion, conjunctival hyperemia, and corneal ulcers, without response to topical antibiotics or topical and systemic steroids. Case 2 is a 9-year-old girl with keratoconjunctivitis and repetition chalazion since she was 2 years old, without improvement after consulting several ophthalmologists and performing several treatments throughout those years.

Rapid response to systemic erythromycin with marked improvement of both cases within a few weeks.

Ocular rosacea is frequently misdiagnosed, particularly in the pediatric population. To our knowledge, this report demonstrates a case with the longest history before diagnosis (7 years) and another case in which a conjunctival biopsy was performed.

Eur J Ophthalmol. 2012 Jan 3:0. doi: 10.5301/ejo.5000103. [Epub ahead of print]
Miguel AI, Salgado MB, Lisboa MS, Henriques F, Paiva MC, Castela GP.
Department of Ophthalmology, Centro Hospitalar de Coimbra, Coimbra - Portugal.

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