过敏性和细菌性结膜炎的概述

N. Schellack, N. Shirindza, T. Mokoena
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摘要

结膜炎影响着全球许多人,严重影响着患者的生活质量。结膜炎可分为感染性和非感染性原因。病毒和细菌是最常见的传染原因。一些最常见的过敏性疾病包括特应性皮炎、鼻炎、过敏性结膜炎和鼻窦炎。其他疾病,如发病率正在上升的嗜酸性粒细胞性食管炎,除非洲外,正在各大洲得到诊断。过敏性结膜炎是一种以空气中过敏原引起的结膜炎症为特征的过敏性疾病;表现为瘙痒、多泪、分泌物和红眼。它通常与其他过敏性疾病有关,如过敏性鼻炎和支气管哮喘。变应性结膜炎又分为急性、季节性变应性结膜炎(SAC)和常年性变应性结膜炎(PAC)。细菌性结膜炎是由细菌和病毒病原体引起的,可分为三大类:超急性细菌性结膜炎、急性结膜炎和慢性结膜炎。诊断主要是临床诊断。本文概述了这些条件及其当前的管理方案。
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An overview of allergic and bacterial conjunctivitis
Conjunctivitis affects many people across the globe, significantly disturbing the quality of life of the people who are affected. Conjunctivitis can be divided into infectious and noninfectious causes. Viruses and bacteria are the most common infectious causes. Some of the most commonly diagnosed allergic diseases include atopic dermatitis, rhinitis, allergic conjunctivitis and sinusitis. Other conditions, such as eosinophilic oesophagitis, the prevalence of which is on the rise, are being diagnosed across all continents, except for Africa. Allergic conjunctivitis is an allergic disease characterised by inflammation of the conjunctiva caused by airborne allergens; it presents as itching, excessive lacrimation, discharge and pink eye. Usually it is associated with other allergic conditions such as allergic rhinitis and bronchial asthma. Allergic conjunctivitis is further divided into acute, seasonal allergic conjunctivitis (SAC) and perennial allergic conjunctivitis (PAC). Bacterial conjunctivitis, caused by bacterial and viral pathogens, may include three major categories: hyperacute bacterial conjunctivitis, acute conjuncitivis and chronic conjunctivitis. The diagnosis is primarily clinical. This article provides an overview of these conditions and their current management options.
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