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Revista Colombiana de Reumatología (English Edition)
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Inicio Revista Colombiana de Reumatología (English Edition) Corneal melt as a complication of a peripheral ulcerative keratitis in a patient...
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Vol. 28. Issue 1.
Pages 69-75 (January - March 2021)
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Vol. 28. Issue 1.
Pages 69-75 (January - March 2021)
Case report
DOI: 10.1016/j.rcreue.2020.04.005
Corneal melt as a complication of a peripheral ulcerative keratitis in a patient with rheumatoid arthritis
Derretimiento corneal como complicación de queratitis ulcerativa periférica en un paciente con artritis reumatoide
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Miguel Antonio Mesa Navasa,b,
Corresponding author
miguel71369450@hotmail.com

Corresponding author.
, Carlos Jaime Velásquez Francoa,b, Isabel Cristina Gómez Suárezc, Julio César Montoya Ramírezb,d
a Servicio de Reumatología, Clínica Universitaria Bolivariana, Medellín, Colombia
b Facultad de Medicina, Escuela de Ciencias de la Salud, Universidad Pontificia Bolivariana, Medellín, Colombia
c Oftalmología, Facultad de medicina, Universidad Pontificia Bolivariana, Medellín, Colombia
d Servicio de Oftalmología, Clínica Universitaria Bolivariana, Medellín, Colombia
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Table 1. Relevant paraclinical tests.
Table 2. Causes of inflammatory corneal thinning.
Table 3. Differential red eye diagnoses in patients with rheumatoid arthritis.
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Abstract

Ocular signs of rheumatoid arthritis are severe extra-articular manifestations, which usually require aggressive management. In this report, A case is presented here of patient with peripheral ulcerative keratitis associated with corneal melt syndrome triggered by abrupt suspension of antirheumatic medication and non-ocular surgery. They symptoms responded favourably to methylprednisolone and cyclophosphamide.

Keywords:
Rheumatoid arthritis
Corneal ulcer
Keratitis
Corneal melt
Resumen

Las manifestaciones oculares de la artritis reumatoide son manifestaciones graves que requieren manejo agresivo. En el presente reporte presentamos un caso de queratitis asociada a derretimiento corneal desencadenado por suspensión abrupta de su medicación reumatológica y cirugía no ocular, y que respondió de forma favorable al manejo con metilprednisolona y ciclofosfamida.

Palabras clave:
Artritis reumatoide
úlcera corneana
Queratitis
Derretimiento corneano

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