Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment

Peripheral ulcerative keratitis (PUK) is type of crescent-shaped inflammatory damage that occurs in the limbal region of the cornea. PUK is always combined with an epithelial defect and the destruction of the peripheral corneal stroma. PUK may have a connection to systemic conditions, such as long-s...

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Main Authors: Yan Cao, Wensong Zhang, Jie Wu, Hong Zhang, Hongyan Zhou
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/7298026
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author Yan Cao
Wensong Zhang
Jie Wu
Hong Zhang
Hongyan Zhou
author_facet Yan Cao
Wensong Zhang
Jie Wu
Hong Zhang
Hongyan Zhou
author_sort Yan Cao
collection DOAJ
description Peripheral ulcerative keratitis (PUK) is type of crescent-shaped inflammatory damage that occurs in the limbal region of the cornea. PUK is always combined with an epithelial defect and the destruction of the peripheral corneal stroma. PUK may have a connection to systemic conditions, such as long-standing rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Wegener granulomatosis (WG), relapsing polychondritis, classic polyarteritis nodosa and its variants, microscopic polyangiitis, and Churg-Strauss syndrome. However, the most common connection is with RA, which is also the focus of this review. The pathogenesis of PUK is still unclear. It is thought that circulating immune complexes and cytokines exert an important influence on the progression of this syndrome. Treatment is applied to inhibit certain aspects of PUK pathogenesis.
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institution Kabale University
issn 2090-004X
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publishDate 2017-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-1e1c9a9bddd44515860e8b14dd93c57f2025-02-03T01:24:20ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/72980267298026Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and TreatmentYan Cao0Wensong Zhang1Jie Wu2Hong Zhang3Hongyan Zhou4Department of Ophthalmology, China-Japan Union Hospital of Jilin University, Changchun City, ChinaDepartment of Ophthalmology, The Second Hospital of Jilin University, Changchun City, ChinaDepartment of Ophthalmology, China-Japan Union Hospital of Jilin University, Changchun City, ChinaDepartment of Ophthalmology, China-Japan Union Hospital of Jilin University, Changchun City, ChinaDepartment of Ophthalmology, China-Japan Union Hospital of Jilin University, Changchun City, ChinaPeripheral ulcerative keratitis (PUK) is type of crescent-shaped inflammatory damage that occurs in the limbal region of the cornea. PUK is always combined with an epithelial defect and the destruction of the peripheral corneal stroma. PUK may have a connection to systemic conditions, such as long-standing rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Wegener granulomatosis (WG), relapsing polychondritis, classic polyarteritis nodosa and its variants, microscopic polyangiitis, and Churg-Strauss syndrome. However, the most common connection is with RA, which is also the focus of this review. The pathogenesis of PUK is still unclear. It is thought that circulating immune complexes and cytokines exert an important influence on the progression of this syndrome. Treatment is applied to inhibit certain aspects of PUK pathogenesis.http://dx.doi.org/10.1155/2017/7298026
spellingShingle Yan Cao
Wensong Zhang
Jie Wu
Hong Zhang
Hongyan Zhou
Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
Journal of Ophthalmology
title Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
title_full Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
title_fullStr Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
title_full_unstemmed Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
title_short Peripheral Ulcerative Keratitis Associated with Autoimmune Disease: Pathogenesis and Treatment
title_sort peripheral ulcerative keratitis associated with autoimmune disease pathogenesis and treatment
url http://dx.doi.org/10.1155/2017/7298026
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AT hongzhang peripheralulcerativekeratitisassociatedwithautoimmunediseasepathogenesisandtreatment
AT hongyanzhou peripheralulcerativekeratitisassociatedwithautoimmunediseasepathogenesisandtreatment