Maywood MJ, Heidemann DG, Gupta CK. Bilateral peripheral ulcerative keratitis in a patient with known Sézary syndrome.
Am J Ophthalmol Case Rep 2024;
33:101990. [PMID:
38235438 PMCID:
PMC10792165 DOI:
10.1016/j.ajoc.2023.101990]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 11/09/2023] [Accepted: 12/21/2023] [Indexed: 01/19/2024] Open
Abstract
Purpose
To report a case of bilateral peripheral ulcerative keratitis (PUK) in a patient with underlying Sézary syndrome.
Observations
A 58-year-old male presented with bilateral corneal ulceration with stromal thinning and was diagnosed with PUK. He was actively being treated for Sézary syndrome, a cutaneous T-cell lymphoma. He had no lagophthalmos or other adnexal abnormalities that would lead to ocular surface breakdown. A systemic autoimmune and infectious workup for PUK was unremarkable. His keratitis resolved after treatment with oral prednisone.
Conclusions and importance
We describe a previously undocumented association of PUK with Sézary syndrome in a patient without adnexal disease.
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