Development of ocular disease in patients with mucous membrane pemphigoid involving the oral mucosa.

The British Journal of Ophthalmology
G T HigginsS B Kaye

Abstract

To determine the rate of development of ocular disease in patients presenting with mucous membrane pemphigoid (MMP) involving their oral mucosa. Diagnosis of oral MMP was made on the basis of clinical signs, histology, and direct and indirect immunofluorescence. Age, race, sex, age at diagnosis, progression of eye signs, duration of follow up, and time to progression of ocular disease were recorded. 30 patients with established oral MMP were reviewed. The mean age at diagnosis was 65.2 years (range 46-84 years) and 16/30 (53%) were male. At initial ocular review nine (30%) patients showed ocular signs of pemphigoid, of whom two had mild (IIA IIIB), four moderate (IIB IIIC), and three severe (IIC IIID) disease. The mean interval between diagnosis of oral MMP and first ophthalmic review was 19.3 months (range 0-144). Over the period of follow up two (7%) patients developed ocular disease at 19 months and 48 months, respectively, despite having had no evidence of ocular involvement at presentation. In total, 11 (37%) patients with oral disease eventually showed ocular disease with a calculated incidence rate for the development of ocular disease of 0.03 per person year over 5 years. MMP may affect different tissues at different st...Continue Reading

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Citations

Nov 15, 2011·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Graham M B ReevesStephen B Kaye
Jun 26, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Konrad Staines, Philip J Hampton
Nov 8, 2012·Cornea·Jennifer M NottageIrving Raber
Mar 7, 2014·Journal of Periodontology·Hiroyasu EndoTakanori Ito
Nov 26, 2010·Otolaryngologic Clinics of North America·Sherif Said, Loren Golitz
Nov 28, 2015·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Tarun MehraChristoph Deuter
Sep 7, 2007·The British Journal of Oral & Maxillofacial Surgery·Crispian Scully, Lorenzo Lo Muzio
Dec 11, 2013·Oral Diseases·G Di ZenzoL S Chan
Jun 12, 2008·Current Opinion in Ophthalmology·Ebenezer Daniel, Jennifer E Thorne
Dec 16, 2017·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·M M HoltscheE Schmidt
Dec 29, 2007·Current Opinion in Ophthalmology

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