Document Detail


Episodic conjunctival inflammation after Stevens-Johnson syndrome.
MedLine Citation:
PMID:  3050689     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors studied the histopathologic, ultrastructural, and immunopathologic characteristics of conjunctiva from patients with Stevens-Johnson syndrome (SJS). A small subset of SJS patients with recurrent conjunctival inflammation unassociated with external factors such as lid margin keratinization, sicca syndrome, trichiasis, or entropion was identified. The ultrastructural and immunopathologic characteristics of the conjunctiva from these patients were distinctly different from those of the conjunctiva from SJS patients without recurrent conjunctivitis, and suggested an active, immunologically mediated inflammation. Vasculitis or perivasculitis, immunoreactant deposition in vessel walls, vascular basement membrane disruption, thickening, and reduplication, and a preponderance of helper T-lymphocytes, macrophages, and Langerhans' cells were the notable distinguishing features in those patients with recurrent conjunctival inflammation. This rare clinical syndrome may represent the ocular counterpart to recurrent dermal or oral mucosal erythema multiforme.
Authors:
C S Foster; L P Fong; D Azar; K R Kenyon
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Ophthalmology     Volume:  95     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-11-23     Completed Date:  1988-11-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  453-62     Citation Subset:  IM    
Affiliation:
Hilles Immunology Laboratory, Massachusetts Eye and Ear Infirmary, Boston 02114.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Biopsy
Child
Conjunctiva / blood supply,  pathology,  ultrastructure
Conjunctivitis / etiology*,  metabolism,  pathology
Endothelium, Vascular / metabolism,  pathology,  ultrastructure
Female
Fluorescent Antibody Technique
Humans
Immunoenzyme Techniques
Immunoglobulin G / metabolism
Male
Metaplasia
Microscopy, Electron
Recurrence
Stevens-Johnson Syndrome / complications*
Grant Support
ID/Acronym/Agency:
EY 03967/EY/NEI NIH HHS; EY 06008/EY/NEI NIH HHS
Chemical
Reg. No./Substance:
0/Immunoglobulin G

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


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