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Ophthalmic complication of pityriasis rubra pilaris.
- Source :
-
BMJ case reports [BMJ Case Rep] 2024 May 28; Vol. 17 (5). Date of Electronic Publication: 2024 May 28. - Publication Year :
- 2024
-
Abstract
- Pityriasis rubra pilaris (PRP) is a rare dermatological condition which may present with ocular manifestations. We report a case of recurrent cicatricial ectropion (CE) with topical beta-blocker use in the rare dermatological condition PRP. The patient underwent release of scar tissue, lateral tarsal strip and full-thickness supraclavicular skin graft for CE following immunosuppression with methotrexate for 3 months. Postoperatively, CE recurred, with skin graft shrinkage and resumption of periocular disease activity, 8 weeks following the introduction of topical timolol. The patient was referred for further immunosuppression and substitution of timolol before consideration for further surgery. PRP has a variety of potential ocular complications. Surgery has a high risk of recurrence and should be performed when the overall disease is quiescent and drugs, which could trigger reactivation, have been discontinued and/or substituted. Skin grafts should be oversized to off-set shrinkage.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Middle Aged
Adrenergic beta-Antagonists therapeutic use
Cicatrix complications
Cicatrix etiology
Methotrexate therapeutic use
Methotrexate administration & dosage
Recurrence
Skin Transplantation
Timolol therapeutic use
Timolol administration & dosage
Ectropion etiology
Pityriasis Rubra Pilaris
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 17
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38806396
- Full Text :
- https://doi.org/10.1136/bcr-2023-256445