首页|度普利尤单抗相关周边溃疡性角膜炎1例

度普利尤单抗相关周边溃疡性角膜炎1例

Peripheral ulcerative keratitis associated with dupilumab:a case report

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1例68岁男性患者因重度特应性皮炎接受度普利尤单抗治疗后约6周,出现双眼异物感、右眼畏光及流泪,右眼周边部角膜可见一新月形浅基质溃疡,边缘呈潜行性,与角膜缘有透明区域相隔,左眼角膜缘血管翳.角膜刮片、细菌及真菌培养等检查除外感染,给予0.1%氟米龙滴眼液点右眼、重组牛碱性成纤维细胞生长因子滴眼液点双眼治疗.随访期间病情持续好转,初诊82 d后复诊可见右眼角膜病灶基本愈合,矫正视力由0.5提高到1.0.
A 68-year-old male developed foreign body sensation in both eyes,photophobia and tearing in the right eye approximately 6 weeks after initiating dupilumab for severe atopic dermatitis.The right eye presented a crescent-shaped superficial-stromal ulcer in the peripheral cornea with an undermined edge,which was separated from the limbus of the cornea by a clear zone.The left eye had a pannus at the limbus of the cornea.Corneal scraping,bacterial culture,and fungal culture excluded infections.The patient was administered 0.1%fluorometholone eye drops and recombinant bovine basic fibroblast growth factor eye drops.The patient's condition continued to improve during the follow-up period.At the revisit 82 days after the initial diagnosis,the corneal lesions of the right eye were basically healed,and the corrected visual acuity increased from 0.5 to 1.0.

Corneal ulcerAntibodies,monoclonal,humanizedDermatitis,atopic

龙泽、李明顺

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北京医院眼科 国家老年医学中心 中国医学科学院老年医学研究院,北京 100730

角膜溃疡 抗体,单克隆,人 特应性皮炎

2025

中华眼科杂志
中华医学会

中华眼科杂志

北大核心
影响因子:1.408
ISSN:0412-4081
年,卷(期):2025.61(1)