Blepharokeratoconjunctivitis of childhood
Contributor: Justin Risma, MD
Photographer: Stefani Karakas, CRA
Blepharokeratoconjunctivitis of childhood is characterized by blepharitis with recurrent episodes of conjunctivitis and keratopathy, including punctate erosions, phlyctenules, marginal keratitis, and ulceration. Treatment may include warm compresses, lid scrubs, topical antibiotics, topical corticosteroids, and systemic antibiotics. The disease rarely progresses after age 8.
This 7-year-old female has a history of recurrent styes, corneal phlyctenules, and filamentary keratitis, as demonstrated in these photos.
Viswalingam M, Rauz S, Morlet N, Dart JK. Blepharokeratoconjunctivitis in children: diagnosis and treatment. Br J Ophthalmol. 2005 Apr;89(4):400-3. PubMed PMID: 15774912; PubMed Central PMCID: PMC1772603
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