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  Authority of Polish Society of Allergology

vol 19. no 2. June 2014  

 Original articles
Ocular symptoms in an adult with a long history of atopic dermatitis – A case report
Magda Drężek, Dorota Raczyńska, Marta Chełmińska

Atopic keratocunjunctivitis (AKC) is a rare disease that has an onset in
young adults following a long history of severe atopic dermatitis. Ocular
symptoms tend to occur all year round with minimal or no seasonal
exacerbation. The disease is a result of both type 1 (IgE-mediated) and
type IV (cell-mediated) hypersensitivity to a wide range of allergens. The
diagnosis is based on clinical symptoms as there is no laboratory test for
confirmation. The condition is chronic, bilateral inflammation of the conjunctiva,
in about 75% of cases with corneal involvement. AKC is associated
with significant visual morbidity. The condition requires prolonged
treatment and in some cases the response is poor.
In this study we report a case of AKC in a 28-year-old woman with a long
history of severe atopic dermatitis.

keywords: atopowe zapalenie rogówki i spojówek, atopic keratoconjunctivitis

pages: from 95 to 95

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