Korean J Ophthalmol.  2014 Dec;28(6):493-495. 10.3341/kjo.2014.28.6.493.

A Case of Paradoxical Reaction after Treatment of Eyelid Tuberculosis

• Seo Y
• Choi M
• Park CK
• Yoon JS

• KMID: 2345827
• DOI: http://doi.org/10.3341/kjo.2014.28.6.493

Abstract

No abstract available.

MeSH Terms

Aged, 80 and over
Antitubercular Agents/*therapeutic use
Eyelid Diseases/drug therapy/*physiopathology
Glucocorticoids/therapeutic use
Humans
Male
Prednisolone/therapeutic use
Tuberculosis, Ocular/drug therapy/*physiopathology
Antitubercular Agents
Glucocorticoids
Prednisolone

Figure

• 

  Fig. 1 Representative photographs showing clinical course of the patient. (A) At initial visit left upper and lower eyelids were swollen with erythema. (B) After a month treatment of steroid, eyelid swelling and erythema was partially improved. (C) Arrow indicates acid-fast bacilli on the pathology. (D) After 3 weeks of anti-tuberculosis (anti-TB) medication, cluster and granulation formation of the upper eyelids with skin necrosis and oozing at the biopsied lesion was observed. (E) After 5 weeks of anti-TB medication, severe wound dehiscence was noted. (F) After 1 month of combined steroid and anti-TB treatment, wound dehiscence was healed and fibrosis of the upper eyelid soft tissues was observed.

Reference

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