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Distichiasis Complicating Allergic Rhinoconjunctivitis

Distichiasis Complicating Allergic Rhinoconjunctivitis Abstract • Three patients had four lid distichiasis and signs and symptoms of allergic rhinoconjunctivitis. The findings consisted of ocular irritation with tearing, photophobia, periodic lid swelling, rhinorrhea, and boggy nasal mucosa. Treatment of the allergic rhinoconjunctivitis was unsuccessful until the distichiasis was relieved. Exacerbations of signs and symptoms recurred when lashes regrew. A neural reflex relationship exists to explain most of the symptom complex resulting from ocular irritation. In the evaluation of patients with rhinoconjunctivitis, trichiasis should be looked for, especially if there is noticeable photophobia present. (Am J Dis Child 132:491-493, 1978) References 1. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969, pp 551-555. 2. Duke-Elder S: Normal and abnormal development: Congenital deformities: Part 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1963, pp 873-876. 3. Pico G: Congenital ectropion and distichiasis . Trans Am Ophthalmol Soc 55:663-700, 1957. 4. Falls HF, Kertesz ED: A new syndrome combining pterygium colli with developmental anomalies of the eyelids and lymphatics of the lower extremities . Trans Am Ophthalmol Soc 62:248-275, 1964. 5. Scheie HG, Albert DM: Distichiasis and trichiasis: Origin and management . Am J Ophthalmol 61:718-720, 1966. 6. Fox SA: Distichiasis . Am J Ophthalmol 53:14-18, 1962. 7. Mustonen E: Congenital distichiasis . Acta Ophthalmol 50:598-607, 1972. 8. Deutsch AR: Distichiasis and epicanthus . Am J Ophthalmol 3:168-173, 1971. 9. Robinow M, Johnson GF, Verhagen AD: Distichiasis: Lymphedema . Am J Dis Child 119:343-347, 1970. 10. Chynn KY: Congenital spinal extradural cyst in two siblings . Am J Roentgenol 101:204-215, 1967.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Distichiasis Complicating Allergic Rhinoconjunctivitis

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120300051010
Publisher site
See Article on Publisher Site

Abstract

Abstract • Three patients had four lid distichiasis and signs and symptoms of allergic rhinoconjunctivitis. The findings consisted of ocular irritation with tearing, photophobia, periodic lid swelling, rhinorrhea, and boggy nasal mucosa. Treatment of the allergic rhinoconjunctivitis was unsuccessful until the distichiasis was relieved. Exacerbations of signs and symptoms recurred when lashes regrew. A neural reflex relationship exists to explain most of the symptom complex resulting from ocular irritation. In the evaluation of patients with rhinoconjunctivitis, trichiasis should be looked for, especially if there is noticeable photophobia present. (Am J Dis Child 132:491-493, 1978) References 1. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969, pp 551-555. 2. Duke-Elder S: Normal and abnormal development: Congenital deformities: Part 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1963, pp 873-876. 3. Pico G: Congenital ectropion and distichiasis . Trans Am Ophthalmol Soc 55:663-700, 1957. 4. Falls HF, Kertesz ED: A new syndrome combining pterygium colli with developmental anomalies of the eyelids and lymphatics of the lower extremities . Trans Am Ophthalmol Soc 62:248-275, 1964. 5. Scheie HG, Albert DM: Distichiasis and trichiasis: Origin and management . Am J Ophthalmol 61:718-720, 1966. 6. Fox SA: Distichiasis . Am J Ophthalmol 53:14-18, 1962. 7. Mustonen E: Congenital distichiasis . Acta Ophthalmol 50:598-607, 1972. 8. Deutsch AR: Distichiasis and epicanthus . Am J Ophthalmol 3:168-173, 1971. 9. Robinow M, Johnson GF, Verhagen AD: Distichiasis: Lymphedema . Am J Dis Child 119:343-347, 1970. 10. Chynn KY: Congenital spinal extradural cyst in two siblings . Am J Roentgenol 101:204-215, 1967.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: May 1, 1978

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