Peripheral Ulcerative Keratitis Associated with HCV-Related Cryoglobulinemia
Joint Authors
Gonçalves, Rita
Menezes, Carlos
Coelho, Pedro
Rodrigues, Pedro
Seara, Elena
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-12
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Purpose.
To describe a case of peripheral ulcerative keratitis associated with type II cryoglobulinemia in the context of Hepatitis C infection.
Methods.
Case report and literature review.
Results.
A 36-year-old male patient presented to our emergency department with unilateral moderate pain in his right eye, associated with redness and photophobia.
Medical background elicited a history of Hepatitis C and IV illicit drug abuse.
Ocular examination revealed a BCVA of 20/30 of the affected eye and slight discomfort with eye movement.
Biomicroscopy revealed a ring shaped peripheral corneal ulcer, with a dense white stromal infiltrate sparing the limbus, plus an adjacent area of mild anterior diffuse nonnecrotizing scleritis.
No intraocular inflammation was present.
Posterior segment was normal.
The patient was placed under oral prednisolone (1 mg/Kg/day) with gradual tapering.
A dramatic clinical response occurred, with complete resolution of the clinical condition.
Systemic analytic workup aiming at autoimmune and infectious diseases was negative, except for high HCV-viral load and the presence of type 2 cryoglobulins.
Conclusion.
Albeit rare, cryoglobulinemia, even in the absence of systemic vasculitis, should be considered in the differential diagnosis of PUK, when systemic workout for autoimmune diseases is negative.
American Psychological Association (APA)
Coelho, Pedro& Menezes, Carlos& Gonçalves, Rita& Rodrigues, Pedro& Seara, Elena. 2017. Peripheral Ulcerative Keratitis Associated with HCV-Related Cryoglobulinemia. Case Reports in Ophthalmological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1148089
Modern Language Association (MLA)
Coelho, Pedro…[et al.]. Peripheral Ulcerative Keratitis Associated with HCV-Related Cryoglobulinemia. Case Reports in Ophthalmological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1148089
American Medical Association (AMA)
Coelho, Pedro& Menezes, Carlos& Gonçalves, Rita& Rodrigues, Pedro& Seara, Elena. Peripheral Ulcerative Keratitis Associated with HCV-Related Cryoglobulinemia. Case Reports in Ophthalmological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1148089
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148089