CUTANEOUS CORTICOSTEROID THERAPY AND CATARACT IN MAN

Nara Branco, B. Branco, H. Maibach
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引用次数: 7

Abstract

Introduction: It is well established that the use of corticosteroids is associated with the development of cataracts (posterior subcapsular cataract). This type of cataract is also related with cataract found in patients with atopic dermatitis. Since many patients use topical corticoids for treatment of skin diseases, it may be possible that an association between cataract (and glaucoma) and corticosteroids' treatment exists. Objective: Relating the cutaneous corticosteroid use and the development of cataract in patients with dermatologic disease. Material and Methods: A review of literature using Medline and citations in articles to obtain this case-report series. Results: Seven patients (all men) developed cataract while using topical corticosteroids for skin diseases. Three of these seven patients also presented with glaucoma, possibly as a complication of topical corticoid on the face. Conclusion: Cataract seems to be related to topical steroids' use in periocular skin, but their real importance needs to be evaluated.
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皮肤皮质类固醇治疗与男性白内障
引言:皮质类固醇的使用与白内障(后囊膜下白内障)的发生有关,这一点已经得到了很好的证实。这种类型的白内障也与特应性皮炎患者的白内障有关。由于许多患者使用局部皮质激素治疗皮肤病,因此可能存在白内障(和青光眼)与皮质类固醇治疗之间的关联。目的:探讨皮肤疾病患者使用皮质类固醇与白内障发生的关系。材料和方法:使用Medline查阅文献,并在文章中引用,以获得本病例报告系列。结果:7例患者(均为男性)在局部使用皮质类固醇治疗皮肤病时发生白内障。这7例患者中有3例也出现青光眼,可能是面部局部皮质激素的并发症。结论:白内障可能与眼周皮肤外用类固醇有关,但其真正的重要性有待评估。
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