Corneal Manifestations in Patients with Hidradenitis Suppurativa

Abstract

Purpose: To report two cases of bilateral blepharokeratoconjunctivitis associated with hidradenitis suppurativa (HS).

Methods: Case report and literature review. The clinical courses of two patients with HS, including ocular presentation and medical management, are described.

Results: Two female patients aged 18 and 23-years-old with severe HS presented with bilateral blepharokeratoconjunctivitis. Shared slit lamp findings included bilateral corneal neovascularization and inferior corneal thinning. Systemic immunosuppression was needed in the first case, which resulted in improvement in the patient's ophthalmic and dermatological findings.

Conclusion: We report two cases of bilateral blepharokeratoconjunctivitis in two patients with severe HS. To our knowledge, this association has not previously been described in the literature. Clinicians should be aware of this association given its potentially visually devastating manifestations and the need for early therapeutic interventions.

Keywords: Blepharokeratoconjunctivitis; corneal neovascularization; hidradenitis suppurativa (HS); inflammatory eye disease.