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Ligneous conjunctivitis with ear involvement.

D M Marcus1, D Walton, P Donshik

  • 1Massachusetts Eye and Ear Infirmary, Boston 02114.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|April 1, 1990
PubMed
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Ligneous conjunctivitis, a rare condition, can affect the ears in children. Histopathology shows fibrin and albumin deposition in both eye and ear lesions, suggesting a systemic disorder.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Pathology

Background:

  • Ligneous conjunctivitis is a rare, chronic condition characterized by pseudomembrane formation on the conjunctiva.
  • Its association with other organ systems is not well-established.

Observation:

  • Two pediatric cases presented with ligneous conjunctivitis and concurrent middle-ear and tympanic membrane involvement.
  • Histopathologic and ultrastructural examination of conjunctival and ear tissues were performed.

Findings:

  • Both eye and ear lesions showed amorphous, eosinophilic material with inflammation.
  • Common features included fibrin and albumin deposition in all examined lesions.
  • Variable deposition of other substances like mucopolysaccharides, amyloid, immunoglobulins, and mast cells was noted.

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Implications:

  • The findings suggest a potential systemic disorder underlying ligneous conjunctivitis, extending beyond the eyes.
  • Further research is needed to elucidate the cause of this multisystemic involvement.
  • This highlights the importance of considering systemic associations in pediatric cases of ligneous conjunctivitis.