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Folikularni konjuktivitis
https://zajedno-do-zdravlja.hr:443/forum/viewtopic.php?f=40&t=463
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Autor:  kate [ 17-11-2010 14:40 ]
Naslov:  Folikularni konjuktivitis

Sezonski alergijski konjunktivitis (SAC)

Folikularna hiperplazija
Ovaj oblik konjunktivitisa javlja se uglavnom vezan uz periodičku pojavu alergena u okolini. Najčešće su to različiti alergeni biljnog, rjeđe životinjskog porijekla (poleni, pelud). Može se javiti i u necikličkom (perenijalnom), kroničnom obliku prilikom trajne izloženosti alergenu. Osim očnih, prisutni su uglavnom i simptomi respiratornog (kihanje, rinoreja) i kožnog sustava (urtikarija i svrbež kože). Radi se o reakciji preosjetljivosti tipa I, posredovanoj od strane IgE vezanih na mastocite u spojničnoj supstanciji propriji. Oči izrazito svrbe, spojnica je umjereno natečena (kemotična), hiperemična manje no kod bakterijskog ili virusnog konjunktivitisa, s izrazitom papilarnom i/ili folikularnom hiperplazijom. Papilarna i folikularna hiperplazija tipične su za alergijske bolesti spojnice. Pri izokretanju kapka spojnica je prožeta sitnim zrnastim čvorićima kod folikularne (SLIKA 1), ili velikim, mesnatim čvorovima kod papilarne hiperplazije (SLIKA 2). Od svih ostalih očnih bolesti, ovakav nalaz može uglavnom upućivati još samo na klamidijski konjunktivitis, koji je i po simptomima sličan.

http://dro.hs.columbia.edu/follicularcs.htm

Follicular Conjunctivitis

Clinical features:
May present as an acute or chronic disease
Symptoms: hyperemia, chemosis, watery discharge, photophobia and periorbital pain.
Signs:
The follicles appear as gray-white, round to oval elevations which measuring between 0.5 to 1.5 mm in diameter
Smaller follicles may produce a slightly irregular and velvety appearance
Follicles can be seen in the inferior and superior tarsal conjunctiva, and less often, on bulbar or limbal conjunctiva

Acute follicular conjunctivitis is usually *** with viral (epidemic keratoconjunctivitis, Herpes zoster keratoconjunctivitis, infectious mononucleosis, Epstein-Barr virus infection) or chlamydial infections (Inclusion conjunctivitis), while chronic disease may be caused by chronic chlamydial infection (trachoma, lymphogranuloma venereum) or as a toxic or reactive inflammaytroy response to topical medications and molluscum contagiosum infection.
Treatment is directed to the causative agents.

Differential Diagnoses for Follicular Conjunctivitis
•HSV
•Chlamydia
•Bacterial Conjunctivitis (including GC in neonate)
•Toxic conjunctivitis (molluscum)
•Allergic conjunctivitis
•Atopic conjunctivitis
•Contact Lens related complications
•Blepharoconjunctivitis
•Foreign body
•Parinaud’s oculoglandular syndrome
•Cat-scratch disease (Bartonella Henselae)

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