A Paediatric Case of Severe Allergic Conjunctivits with Underlying Alopecia Areata
DOI:
https://doi.org/10.31674/mjmr.2023.v07i01.004Abstract
Background: Allergic conjunctivitis (AC) represents one of most the common condition presented in a paediatric age group. It is usually underdiagnosed and undertreated, especially in the non-verbal group of patients. However, in some cases the presenting age can become the reason patients were undertreated, coupled with a lack of verbal complain and parents’ role in the management, can lead to a poorer prognosis. Case: A 7-year-old girl whos is under investigation for alopecia areata and failure to thrive was referred at the age of 5-year-old after non-improving of bilateral eye redness and tearing. Initially presented, to a different medical center, at age of 4-month-old with complaint of only tearing. Examination under anaesthesia shows she has bilateral eye (BE) allergic conjunctivitis and BE cornea scarring after multiple visit and undertreatment Conclusion: However, in some cases the presenting age can become the reason patients were undertreated, coupled with lack of verbal complain and parents’ role in the management, can lead to a poorer prognosis.
Keywords:
Conjunctivites, Paedeatric Allergy, Underlying AlopeciaDownloads
References
Barton, V. R., Toussi, A., Awasthi, S., & Kiuru, M. (2022). Treatment of pediatric alopecia areata: A systematic review. Journal of the American Academy of Dermatology, 86(6), 1318–1334. https://doi.org/10.1016/j.jaad.2021.04.077
Kridin, K., Renert-Yuval, Y., Guttman-Yassky, E., & Cohen, A. D. (2020). Alopecia Areata Is Associated with Atopic Diathesis: Results from a Population-Based Study of 51,561 Patients. The Journal of Allergy and Clinical Immunology. In Practice, 8(4), 1323–1328.e1. https://doi.org/10.1016/j.jaip.2020.01.052
Lee, S., Lee, H., Lee, C. H., & Lee, W. S. (2019). Comorbidities in alopecia areata: A systematic review and meta-analysis. Journal of the American Academy of Dermatology, 80(2), 466–477.e16. https://doi.org/10.1016/j.jaad.2018.07.013
Leonardi, A., Castegnaro, A., Valerio, A. L., & Lazzarini, D. (2015). Epidemiology of allergic conjunctivitis: clinical appearance and treatment patterns in a population-based study. Current Opinion in Allergy and Clinical Immunology, 15(5), 482–488. https://doi.org/10.1097/ACI.0000000000000204
Rajabi, F., Drake, L. A., Senna, M. M., & Rezaei, N. (2018). Alopecia areata: a review of disease pathogenesis. The British Journal of Dermatology, 179(5), 1033–1048. https://doi.org/10.1111/bjd.16808
Tosti, A., Bellavista, S., & Iorizzo, M. (2006). Alopecia areata: a long term follow-up study of 191 patients. Journal of the American Academy of Dermatology, 55(3), 438–441. https://doi.org/10.1016/j.jaad.2006.05.008
Xing, L., Dai, Z., Jabbari, A., Cerise, J. E., Higgins, C. A., Gong, W., de Jong, A., Harel, S., DeStefano, G. M., Rothman, L., Singh, P., Petukhova, L., Mackay-Wiggan, J., Christiano, A. M., & Clynes, R. (2014). Alopecia areata is driven by cytotoxic T lymphocytes and is reversed by JAK inhibition. Nature Medicine, 20(9), 1043–1049. https://doi.org/10.1038/nm.3645
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Malaysian Journal of Medical Research (MJMR)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.