은행 열매 접촉에 의한 독성 각결막염 2예
Two Cases of Toxic Keratoconjunctivitis due to Ginkgo Nut Contact
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초록
목적: 은행열매를 접촉한 후 발생한 독성 각결막염을 보인 두 명의 환자를 경험하여 이를 보고하는 바이다. 증례요약: 두 명의 환자는 은행열매를 접촉한 손으로 안구 부위를 비빈 후 심한 각결막염을 나타내었다. 세극등현미경 소견에서 심한 결막부종 및 각막부종과 중증도 데스메막 접힘을 보였다. 독성 각결막염의 급성기에는 경면현미경을 통한 각막내피검사에서 전반적인 내피손상이 관찰되었다. 점안 스테로이드제와 항히스타민제 투여 후 약 2주에 거쳐 서서히 호전되었다. 결론: 눈 주변부에 은행 열매와의 접촉은 심한 각결막염을 유발할 수 있으니, 은행 열매를 다룰 때 각별한 주의가 필요하다.
Abstract
Purpose: To report two cases of keratoconjunctivitis induced by gingko nut contact. Case summary: These cases report two old patients with severe keratoconjunctivitis who had recently touched ginkgo nuts andthen the periorbital area and eyes. In both patients, slit lamp examination found severe chemosis and corneal edema with moderateDescemet membrane folding. Specular microscopy showed diffuse damage of endothelial cells in acute stage of thedisease. The patients were treated with oral and topical steroid and antihistamine over two weeks and showed slow recovery. Conclusions: Contact with ginkgo nut can induce severe keratoconjunctivitis to the periorbital area. Special caution is recommendedwhen after contacting ginkgo nuts.
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