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مقاله
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Abstract
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Title:
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prolonged conjunctivitis as a manifestation of systemic disease; a case report
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Author(s):
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Mahmood.Nejabat, Mohammad Hassan Jalalpour, ,Golnoush Sadat Mahmoudi Nezhad, Mohammad Javad Ashraf, Saeedeh Shenavande
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Presentation Type:
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Poster
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Golnoush Sadat Mahmoudi nezhad
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Affiliation :(optional)
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1. Poostchi Ophthalmology Research Center,Department of Ophthalmology,Shiraz Universtiy of Medical Sciences , Shiraz, Iran
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E mail:
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golnooshm.mahmoodi@gmail.com
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Phone:
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07136278134
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Mobile:
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09166182554
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Purpose:
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To report a case of prolonged conjunctivitis as the first manifestation of Wegener’s granulomatosis.
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Methods:
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Case report
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Results:
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A 37-year-old man presented with prolonged conjunctivitis which had persisted for one month. He was taking medication for his conjunctivitis without any response. A slit-lamp examination revealed conjunctivitis and scleritis in the right eye. Conjunctivitis, 360-degree peripheral corneal thinning, corneal perforation, and scleritis were seen in the left eye. Emergency penetrating keratoplasty was performed to treat the patient’s corneal perforation. After a consultation with the Internal Medicine Department, the patient was suspected of having Wegener’s granulomatosis with positive C-ANCA. Functional endoscopic sinus surgery was performed to treat right maxillary sinusitis, and a biopsy of the maxillary sinus mucosa was obtained. The pathology report showed granuloma and vasculitis with severe acute and chronic inflammation and few eosinophils; thus, the diagnosis was confirmed.
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Conclusion:
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Because prolonged conjunctivitis occurs only rarely in association with systemic disease, ophthalmologists should be aware of this potential, particularly in patients with Wegener’s granulomatosis.
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Attachment:
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5381prolong conjunctivitis.pptx
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