Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0022568 (keratitis)
 5,133 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors report the case of a 15-year-old female suffering from bilateral keratitis revealing Lyme's disease, 6 years after a tick bite. The corneas disclosed multiple hazy infiltrates adjacent to the limbus and in the midperiphery, from the superficial layers to pre-Descemet's membrane. The other systems involved were the joints, the skin (an atypical erythema chronicum migrans), and perhaps the peripheral nerves. The diagnosis was confirmed by indirect immunofluorescence assays in the serum of the patient who completely and rapidly healed with amoxicillin and systemic and topical steroids. The clinical and serological pitfalls which explain the frequent delayed diagnosis of Lyme's disease, its complications, especially ocular, and the therapeutic strategies are discussed.
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PMID:[Keratitis in Lyme disease]. 798 59

It is known that ultraviolet-B light (UV-B) affects human health. In addition to deleterious effects on the skin and the eyes, such as erythema, photoageing, keratitis and cataract, UV-B is also able to impair the resistance against skin-associated tumours and infections. Our data implicate that UV-B can impair the resistance against certain non-skin-associated infections in rats, such as Listeria monocytogenes, Trichinella spiralis and Ratcytomegalovirus (RCMV). Rats, infected with T. spiralis, had an increased amount of T. spiralis larvae in their carcasses after UV-B exposure in comparison to control animals, indicating that the resistance to this parasite was decreased by UV-B. Exposure to UV-B caused an increase of RCMV load in the salivary gland 26 days after infection with this virus, indicating that especially the resistance against the second generation of viruses was impaired. In L. monocytogenes-infected rats, UV-B exposure caused an increased number of bacteria in the spleen, coupled to a decreased specific response of T lymphocytes to the bacteria. We conclude that UV-B radiation may affect the resistance against several non-skin-associated infectious diseases, which is probably caused by a defect in the specific lymphocyte response to the antigen.
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PMID:Effects of UV-B on the resistance against infectious diseases. 820 53

The goal of radiation therapy in pediatric cancer is to destroy cancer cells and preserve functional surrounding normal cells. Although all radiation for pediatric cancers does not result in complications of the eye, acute and long-term radiation effects can occur after treatment. Acute radiation effects to the eye include erythema, epilation, conjunctivitis, dermatitis, keratitis, corneal ulceration, iritis, and retinal edema. Long-term radiation effects include tissue necrosis, decreased tear production, telangiectasia, scleral melting, cataract, corneal neovascularization, radiation retinopathy, retarded bone growth (of bones within the irradiated field), and radiation-induced cancers. Nursing interventions and implications will be presented in conjunction with medical management for each of these acute and long-term effects.
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PMID:Acute and long-term effects of radiation therapy to the eye in children. 826 86

Solar UVB radiation is prejudicial to the health of humans in a number of ways. Erythema and photodermatoses are acute reactions of the skin; keratitis and conjunctivitis are acute reactions of the eye. Various types of skin cancer, accelerated aging of the skin, and cataract formation in the crystalline lens are reactions that appear with great latency. UV radiation can also cause damage to the immune system and DNA. For the period 1981-1991, an increase in erythemal effective UVB radiation of +(7 +/- 4)% per decade was measured in a non-polluted high mountain area (Jungfraujoch, 3576 m a.s.l., Switzerland). This increase is related to a decrease in stratospheric ozone. The effects on human health are discussed. A 10% ozone reduction increases non-melanoma skin cancer by 26% and cataract by 6 to 8%.
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PMID:Biological effectiveness of solar UV radiation in humans. 840 96

The authors reviewed 44 tarsoconjunctival grafts performed from 1983 to 1993 to determine the nature and severity of complications related to these grafts. Follow-up ranged from 3 weeks to 10 years, with a mean of 23 months. The complications were categorized as none, minor, or major. A complication was deemed major if it required a second surgical procedure for treatment. Eleven percent (5/44) of patients had major complications, including marked upper lid retraction after upper lid reconstruction (1), wound dehiscence (2), cicatricial ectropion (1), and excessive lower lid laxity (1). Seventy-three percent (32/44) of patients had minor complications. Minor complications included trichiasis (5), notching of the donor and/or recipient lid margin (9), mild lid retraction (3), contour deformity (2), granuloma (2), prolonged edema or erythema (4), symblepharon (1), mild ectropion (2), punctate keratitis (1), minimal ptosis (1), and epiphora (1). Sixteen percent (7/44) had no complications. Despite the frequent minor complications and the occasional major complications, the use of free tarsoconjunctival grafts remains a valuable procedure in the surgeon's armamentarium for reconstruction of major eyelid defects. Knowledge and early recognition of the possible complications may result in better patient care.
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PMID:Complications of tarsoconjunctival grafts. 865 58

Lyme disease is a multisystem disorder caused by infection with the Borrelia burgdorferi spirochete. The diagnosis of Lyme disease usually is based on several clinical criteria, with supportive data from laboratory testing. The presence of the bullseye skin lesion, erythema migrans, is the single pathognomonic criterion. In the 20 years since the initial description of Lyme disease in the United States, B. burgdorferi has been implicated as an etiologic agent in numerous ophthalmic and neuro-ophthalmic syndromes, involving most structures from the cornea to the cranial nerves. Neuro-ophthalmic and ocular manifestations of Lyme disease include meningitis with papilledema, cranial neuropathies, follicular conjunctivitis, nummular keratitis, and intraocular inflammation. Although an association with Lyme disease has been purported for numerous other syndromes, a definite causal relationship has not been proved in many cases. During a period of rapidly increasing awareness of Lyme disease, a high index of suspicion and poorly defined criteria for its presence have resulted in over-diagnosis of Lyme disease. In the authors' experience, the incorrect diagnosis of Lyme disease initially has been made in patients with allergic conjunctivitis, keratoconus, morning glory syndrome, craniopharyngioma, meningioma, CNS lymphoma, paraneoplastic syndrome, multiple sclerosis, sarcoid, syphilis, and functional illness. Nevertheless, this treatable infection must be an important consideration in the differential diagnosis of certain ocular or neurologic diseases.
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PMID:Neuro-ophthalmic manifestations of Lyme disease. 917 82

Information on possible human health-changes associated with stratosphere ozone depletion and amplification factor (% increase of the stick rate by 1% decrease of ozone) values for acute (erythema, keratitis, cataract, immunosuppression) and chronic (skin cancer, cataract) effects of natural UV-radiation was analysed. Amplification factor (AF) values for acute UV-effects increase with degree of ozone depletion. For degrees less than 12.5% they are independent of latitude and equal to 1.9 for erythema, 1.3-1.5 for keratitis, 1.7-2.3 for cataract and 0.9-1.1 for immunosuppression. AF values for incidence of non-melanoma skin cancer are independent of age, higher in males than females, and higher for squamous cell carcinoma, than for basal cell carcinoma. Their optimal estimations for whites equal to 2.7 for basal cell and 4.6 for squamous cell carcinoma. AF values for incidence of cutaneous malignant melanoma range between 1 and 2, for melanoma mortality--between 0.3 and 2. AF values for incidence of cataract range between 0.3 and 1.2 with optimal estimations between 0.6 and 0.8. Prognosis of non-melanoma skin cancer and cataract incidences, melanoma mortality and economic loss for different scenarios of stratosphere ozone depletion are presented.
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PMID:[Biomedical and economic consequences of stratosphere ozone depletion]. 963 27

Atopic dermatitis is the most common chronic inflammatory skin disease among children in industrialized countries. The prevalence is recorded to be up to 20% in children. Phototherapy with ultraviolet B (UVB) is an effective form of treatment with a low complication rate. Here we report on a patient with atopic dermatitis who underwent UVB treatment to the facial area including the eyelids and who developed severe keratitis with facial erythema. The symptoms diminished within a few days under topical steroid treatment. Although phototherapy seems to be a safe treatment procedure for atopic dermatitis, patients undergoing UVB treatment should be informed about possible side effects if the eyes are not fully closed during treatment. The use of protective eye shields should be considered, since UVB might induce long-term corneal damage and early onset of cataract.
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PMID:Keratopathy after ultraviolet B phototherapy. 1592 23

Sulfur mustard is an alkylating agent that reacts with ocular, respiratory, cutaneous, and bone marrow tissues, resulting in early and late toxic effects. We compare these effects based on the experience in Iranian veterans exposed to the agent during the Iran-Iraq conflict (1983-88). The first clinical manifestations of sulfur mustard poisoning occurred in the eyes with a sensation of grittiness, lacrimation, photophobia, blepharospasm, and corneal ulceration. Respiratory effects appeared as rhinorhea, laryngitis, tracheobronchitis, and dyspnoea. Skin lesions varied from erythema to bullous necrotization. Initial leukocytosis and lymphopenia returned to normal within four weeks in recovered patients, but marked cytopenia with bone marrow failure occurred in fatal cases. Late toxic effects of sulfur mustard were most commonly found in lungs, skin and eyes. Main respiratory complications were chronic obstructive pulmonary disease, bronchiectasis, asthma, large airway narrowing, and pulmonary fibrosis. Late skin lesions were hyperpigmentation, dry skin, atrophy, and hypopigmentation. Fifteen of the severely intoxicated patients were diagnosed with delayed keratitis, having corneal vascularization, thinning, and epithelial defect. Respiratory complications exacerbated over time, while cutaneous and ocular lesions decreased or remained constant. Both the severity and frequency of bronchiectatic lesions increased during long-term follow-up. The only deteriorating cutaneous complication was dry skin. The maximum incidence of delayed kaeratitis was observed 15 to 20 years after initial exposure. Being suggested as the main cause ofassociated with malignancies and recurrent infections, natural killer cells were significantly lower 16 to 20 years after intoxication.
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PMID:Comparison of early and late toxic effects of sulfur mustard in Iranian veterans. 1704 Feb 11

Ultraviolet radiation (UVR) exposure is known to cause serious effects such as conjunctivitis and keratitis in eyes and erythema in skin. The exposure assessment of UVR has not been well established and developed in workplaces due to the lack of suitable UV detecting instruments. Therefore, UV monitoring and measuring procedures were investigated and developed with commercial spectroradiometry devices described in this paper. The UVR irradiance integrated with a biological effective parameter (S lambda) represents the impacts on human skin and eyes as UV effective irradiance. The spectral weighting function derived from the American Conference of Governmental Industrial Hygienists was applied and evaluated to indicate the degree of harmfulness of UVR as a function of wavelength. A portable UV germicidal lamp with short and long wavelengths (254 nm and 365 nm) served as the UVR emission source. The UVR photon count similar to the perceived brightness of a source, irradiance, and effective irradiance (E eff) of the germicidal lamp were measured and analyzed, then the permissible exposure times (T max) were derived for UVR exposure assessment. This monitoring provided a comprehensive approach to detecting UVR magnitude, evaluated the performance of the approach, and quantified the effective exposure based on measured data. From this study, the methodology of UV measurement was established and could be applied to further UVR exposure assessment in the workplace.
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PMID:UVR measurement of a UV germicidal lamp. 1729 96


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