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Review
. 2023 May;120(5):478-483.
doi: 10.1007/s00347-023-01863-z. Epub 2023 Apr 27.

[Differential diagnoses of ocular mucous membrane pemphigoid]

[Article in German]
Philipp Steven  1   2
Affiliations
Review

[Differential diagnoses of ocular mucous membrane pemphigoid]

[Article in German]
Philipp Steven. Ophthalmologie. 2023 May.

Abstract
in English, German

Overall, conjunctival scarring is rare and often overlooked during routine examination. However, the differential diagnostic distinction of cicatricial mucous membrane pemphigoid from other causes is crucial for further treatment planning. Other entities that lead to conjunctival scarring, are ocular rosacea, ocular graft-versus-host disease, atopic keratoconjunctivitis, infections, trauma and further sometimes very rare diseases. Most of these differential diagnoses have in common that conjunctival scarring does not progress indefinitely if untreated, in contrast to mucous membrane pemphigoid.

Vernarbungen der Bindehaut sind insgesamt selten und werden oft übersehen. Die differenzialdiagnostische Abgrenzung des vernarbenden Schleimhautpemphigoids von anderen Ursachen ist wichtig für die weitere Therapieplanung. Zu anderen Erkrankungen, die zu einer konjunktivalen Vernarbung führen, gehören die okuläre Rosazea, die okuläre Graft-versus-Host Erkrankung, die atopische Keratokonjunktivitis, Infektionen, Traumata und weitere zum Teil sehr seltene Entitäten. Den meisten dieser Differenzialdiagnosen ist gemein, dass die Vernarbung im Gegensatz zum Schleimhautpemphigoid auch unbehandelt häufig zum Stillstand kommt.

Keywords: Conjunctiva; Graft-versus-host disease; Mucous membrane pemphigoid; Rosacea; Scarring.

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References

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