Eye diseases, skin changesjeweilige Erkrankung
DefinitionThis section has been translated automatically.
The assessment of the eyes is one of the most important examination procedures when it comes to changes in the facial skin. In detail, we will only draw attention to processes that are associated with relevant dermatological diseases. The assessment of the eye changes themselves belongs in the hands of the ophthalmologist. However, the dermatologist should be expected or suspected to initiate a specialist ophthalmological examination in case of corresponding changes (e.g. melanocytic nevus or malignant melanoma of the conjunctiva) or in case of dermatological diseases of the eye (e.g. zoster ophthalmicus or Stevens-Johnson syndrome).
ClassificationThis section has been translated automatically.
Clinical classification of skin and eye constellation:
- Monitor signs and disorders for combined diseases of the skin and eyes:
- Arcus senilis corneae
- Arteritis temporalis
- Atopic eczema (keratitis)
- Behçet 's disease (acute iridocyclitis with red eye and radiating pain: ciliary neuralgia)
- Candidiasis, chronic mucocutaneous (CMC)
- Conjunctivitis allergica (chemosis, itching, watering eyes, foreign body sensation)
- Erythema exsudativum multiforme (conjunctivitis)
- Gonoblenorrhea
- Herpes simplex (keratitis dendritica -infection of the cornea)
- Hidroa vacciniformia
- HIV infection (acute iridocyclitis with red eye and radiating pain: ciliary neuralgia)
- Corneal opacities:
- Angiokeratoma corporis diffusum: cornea verticillata.
- Hereditary benign intraepithelial dyskeratosis: Fine, cloudy, gelatinous plaques overgrowing the cornea.
- Ichthyosis vulgaris, autosomal dominant: Superficial corneal opacities.
- Ichthyosis vulgaris, X-linked recessive: Deep-seated corneal opacities.
- Pachyonychia congenita: Later with corneal dystrophy.
- Hutchinson's sign II (zoster affection of the eye: 75% probability)
- Hyperlipoproteinemia type II (arcus senilis)
- Keratoconjunctivitis photoelectrica (after UV exposure)
- Keratosis lichenoides chronica (kerato-conjunctivitis)
- Staphylococcal scalded skin syndrome (kerato-conjunctivitis)
- Lyme disease (eye involvement)
- Melanoma, malignant of the conjunctiva
- Onchocerciasis (skin and eye involvement)
-
Paraproteinemia:
- Keratitis filiformis
- Sicca symptoms
- Pemphigoid, scarring (catarral or purulent conjunctivitis, scarring, adhesions and shrinkage of eyelid and conjunctiva = symblepharon)
- Pemphigus vulgaris (conjunctivitis)
- Phospholipid antibody syndrome (central arteries of the eye)
- Polyarteritis nodosa, systemic (ocular symptoms: fundus hypertonicus)
- Polychondritis recidivans et atrophicans
- Caterpillar conjunctivitis
- Reiter's syndrome (acute iridocyclitis with bright red eye and radiating pain: ciliary neuralgia)
- Rosacea (involvement of the eyes: blepharitis, conjunctivitis)
- Sarcoidosis (Acute iridocyclitis with high red eye and radiating pain: ciliary neuralgia; Koeppe's nodule: nodules located at iris ruff).
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Sicca symptomatology: e.g. associated with:
- Sjögren's syndrome
- Collagenoses
- Sarcoidosis
- Conjunctivitis allergica
- Pemphigoid, scarring
- Sjögren's syndrome
- Scleroderma, systemic (eyes: cataract, sicca symptoms)
- Stevens-Johnson syndrome (kerato-conjunctivitis)
- Still syndrome (ocular lesions: iridocyclitis; band keratopathy)
- Syphilis acquisita (Argyll-Robertson phenomenon: pupils are narrow and rounded; reflex pupillary rigidity; iris nodules)
- Toxic epidermal necrolysis
- Tuberculosis (kerato-conjunctivitis scrofulosa)
- Vasculitis in essential cryoglobulinemia
- Wegener's granulomatosis
- Wilson, M. (Kayser-Fleischer corneal ring)
- Xanthogranuloma, necrobiotic with paraproteinemia
- Xeroderma pigmentosum (affection of eyelids, conjunctiva)
- Zoster ophthalmicus
- cytomegaly.
- Rare syndromes with skin and eye involvement:
- Ablepharon macrostomy syndrome
- ADULT syndrome: Clinical picture: Split hand and split foot. Eye: Atresia of the tears
- Albinism totalis (sunglasses)
- Waardenburg syndrome (ocular malformations; heterochromia)
- Albinism, oculocutaneous, tyrosinase-negative (transparent iris, ocular fundus completely free of pigment)
- Albinoidism, oculocutaneous (pigmentation of the ocular fundus)
- Angiokeratoma corporis diffusum (cornea verticillata)
- Atrichia congenita diffusa
- Bannayan-Riley-Ruvalcaba syndrome
- Birt-Hogg-Dubé syndrome(renal cysts, hamartomas; eyes: retinopathies, chorioretinopathies, glaucoma)
- Chondrodysplasia calcificans congenita (skin, skeletal and ocular abnormalities)
- Cronkhite-Canada syndrome (eye malformations)
- Crouzon syndrome (eye anomalies)
- Cutis marmorata teleangiectatica congenita
- Dubowitz syndrome
- Dyskeratosis, hereditary, benign intraepithelial
- Dyskeratosis congenita
- Dysplasia, hidrotic ectodermal
- Epidermolysis bullosa junctionalis with pyloric atresia
- Erythrokeratodermia progressiva, Burns type (missing eyebrows and eyelashes)
- Goldenhar syndrome
- Gorlin-Chaudhry-Moss syndrome
- Hermansky-Pudlak syndrome
- Hypotrichosis congenita hereditaria generalisata (rarefied eyebrows)
- Incontinentia pigmenti achromians
- Keratosis palmoplantaris circumscripta seu areata
- LEOPARD syndrome
- Marfan syndrome (bilateral lens subluxations = lens flutter)
- Möbius syndrome (infantile eye muscle atrophy)
- Nevus fuscocoeruleus ophthalmomaxillaris
- Nail-patella syndrome
- Neurofibromatosis (eyes: Lisch nodules)
- Pachyonychia congenita
- Progeria-like syndrome (deep-set eyes, prognathism)
- Schimmelpenning-Feuerstein-Mims syndrome
- Sjögren-Larsson syndrome (in individual cases eye fundus anomalies)
- Sphingolipidoses (characteristic ocular fundus changes)
- Sturge-Weber-Krabbe syndrome (buphthalmos, hydrophthalmos)
- Trichooculodermovertebral syndrome
- Tuberous sclerosis
- Ullrich-Turner syndrome (cataract)
- Neurofibromatosis-Noonan syndrome (hypertelorism).