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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Related Experiment Video

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Author Spotlight: Anterior HR-OCT as a Non-Invasive Tool for Characterizing Ocular Surface Squamous Neoplasia
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Thygeson's superficial punctate keratitis in children.

Meghal Gagrani1,2, Elizabeth A Conner1,2, Hannah Scanga1,2

  • 1UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

Eye (London, England)
|April 21, 2023
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Thygesons

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Area of Science:

  • Ophthalmology
  • Corneal Diseases

Background:

  • Thygesons' superficial punctate keratitis (TSPK) is a rare corneal condition.
  • Management strategies in pediatric TSPK require further elucidation.

Purpose of the Study:

  • To describe the first case series of pediatric Thygesons' superficial punctate keratitis (TSPK).
  • To evaluate management outcomes, including visual acuity and treatment response.
  • To assess the impact of steroid and cyclosporine use on total steroid exposure.

Main Methods:

  • Retrospective chart review of pediatric TSPK cases from 2012-2021.
  • Assessment of clinical signs, symptoms, diagnosis, and treatment interventions.
  • Evaluation of visual acuity, treatment response, and steroid exposure.

Main Results:

  • Fifteen children with TSPK were included, all with bilateral disease.
  • Topical fluorometholone (FML) showed an 80% initial response rate.
  • Cyclosporine 0.05% use significantly reduced total weekly steroid exposure (p < 0.05).

Conclusions:

  • Pediatric TSPK responds well to steroids but frequently recurs, requiring slow tapering.
  • Non-response to steroids warrants diagnostic re-evaluation.
  • Topical cyclosporine 0.05% is effective in reducing steroid dependency in TSPK management.