Document Detail


Alport syndrome with recurrent herpes simplex virus keratitis.
MedLine Citation:
PMID:  18043194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of Alport syndrome with recurrent herpes simplex virus (HSV) keratitis. METHODS: Case report and review of the literature. RESULTS: A 29-year-old man with Alport syndrome suffered from 4 consecutive episodes of HSV keratitis within 2 years. A type IV collagen defect in basement membranes plays an important role in the pathogenesis of Alport syndrome. The relationship between HSV keratitis and Alport syndrome is discussed. After remission from HSV keratitis, the patient underwent bilateral phacoemulsification and posterior-chamber intraocular lens implantation for anterior lenticonus and an anterior polar cataract. After surgery, the uncorrected visual acuity was 20/20 in both eyes. CONCLUSIONS: We assume that the underlying basement membrane defects in Alport syndrome may account for the recurrent episodes of HSV keratitis in this patient. In addition, phacoemulsification and posterior-chamber intraocular lens implantation, rather than correction of refractive errors, provide a safe and efficient therapeutic choice for the management of anterior lenticonus, with or without associated cataract in patients with Alport syndrome.
Authors:
Pei-Chen Chung; Ken-Kuo Lin; Hu-Shien Song; Wan-Chen Ku; Samuel C M Huang; Chi-Chin Sun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cornea     Volume:  26     ISSN:  0277-3740     ISO Abbreviation:  Cornea     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-28     Completed Date:  2008-03-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1279-81     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Acyclovir / therapeutic use
Adult
Antiviral Agents / therapeutic use
Humans
Keratitis, Herpetic / complications*,  drug therapy
Lens Implantation, Intraocular
Male
Nephritis, Hereditary / complications*
Phacoemulsification
Recurrence
Chemical
Reg. No./Substance:
0/Antiviral Agents; 59277-89-3/Acyclovir

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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