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Pediatric ocular rosacea: 2 cases.

Ana I M Miguel1, Manuel B Salgado, Maria S Lisboa

  • 1Department of Ophthalmology, Centro Hospitalar de Coimbra, Coimbra, Portugal. myworld_ana@hotmail.com

European Journal of Ophthalmology
|January 24, 2012
PubMed
Summary
This summary is machine-generated.

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Pediatric ocular rosacea is often misdiagnosed, leading to delayed treatment. Early diagnosis and systemic erythromycin treatment can rapidly improve symptoms in children with this condition.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Pediatrics

Background:

  • Ocular rosacea is a chronic inflammatory condition affecting the eyes, often presenting with non-specific symptoms in children.
  • Delayed diagnosis in pediatric ocular rosacea can lead to significant ocular morbidity.

Observation:

  • Two pediatric cases of ocular rosacea presented with prolonged, recalcitrant symptoms including blepharitis, chalazion, conjunctival hyperemia, and corneal ulcers.
  • Both patients experienced a diagnostic delay of several years despite multiple ophthalmologist consultations and treatments.

Findings:

  • A rapid and marked improvement in ocular symptoms was observed within weeks of initiating systemic erythromycin therapy in both cases.
  • One case involved a 7-year diagnostic delay, highlighting the challenges in recognizing ocular rosacea in pediatric patients.

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Implications:

  • This report underscores the importance of considering ocular rosacea in the differential diagnosis of pediatric eyelid and ocular surface diseases.
  • Prompt diagnosis and treatment with systemic antibiotics like erythromycin can significantly alter the clinical course and prevent long-term complications.