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[Phlyctenular keratoconjunctivitis and lymph node tuberculosis].

C Valentina1, C Mirela

  • 1Clinica Pneumoftiziologie Craiova.

Oftalmologia (Bucharest, Romania : 1990)
|January 21, 2000
PubMed
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Tuberculous keratoconjunctivitis affects children with primary tuberculosis, often showing positive tuberculin skin tests and healed lung lesions. Treatment varies based on tuberculosis type, using systemic drugs for primary cases and topical medicine for others.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatrics

Context:

  • Tuberculous keratoconjunctivitis is a rare ocular manifestation of tuberculosis.
  • Primary tuberculosis in children can present with diverse clinical features, including ocular involvement.
  • Diagnosis relies on clinical signs, tuberculin skin test, and history of exposure.

Purpose:

  • To describe the clinical characteristics and treatment outcomes of 28 cases of tuberculous keratoconjunctivitis.
  • To highlight the association between primary tuberculosis in children and ocular manifestations.
  • To report a specific case of tuberculous adenopathy with histopathological confirmation.

Summary:

  • Twenty-eight cases of tuberculous keratoconjunctivitis were analyzed, with 13 occurring in children aged 4-13 years with primary tuberculosis.

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  • All patients exhibited positive tuberculin skin tests, and many had a history of tuberculosis, adenopathy, and healed pulmonary lesions.
  • Treatment involved isoniazid, pyrazinamide, and rifampicin for primary tuberculosis cases, while others received topical medication.

    • Impact:

    • This study underscores the importance of considering tuberculosis in the differential diagnosis of pediatric keratoconjunctivitis.
    • Early diagnosis and appropriate anti-tuberculosis treatment are crucial for managing ocular manifestations and preventing complications.
    • Findings contribute to understanding the spectrum of pediatric tuberculosis and its extrapulmonary involvements.