The clinical characteristic and misdiagnosis of blephaokeratoconjunctivitis
10.3760/cma.j.issn.1008-6706.2017.03.014
- VernacularTitle:睑缘炎相关角结膜病变的临床特点及误诊分析
- Author:
Bang LIU
;
Wenlong LIU
- Keywords:
Keratoconjunctivitis;
Blepharitis;
Misdiagnosis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(3):378-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical symptoms,signs,and analysis of misdiagnosis of blephaokera-toconjunctivitis(BKC).Methods The clinical data of 88 patients with BKC in our hospital from June 2014 to June 2016 were retrospectively analyzed.Based on the patients'symptoms,signs and BKC diagnostic criteria,the causes of misdiagnosis were analyzed.Results In 88 patients with BKC,59 cases were misdiagnosed,the misdiagnosis rate was 67.04%.The People's Hospital of Anshun misdiagnosed 10 cases(12.19%),among which resident misdiagnosed 6 cases(6.81%),attending physician misdiagnosed 2 cases (2.27%),deputy director and the above physician misdiagnosed 1 case (1.13%);outer court misdiagnosed 49 cases (55.68%),among which three level hospital misdiagnosed 8 cases(9.09%),II level hospital misdiagnosed 23 cases(26.13%),a level hospital and the following misdiagnosed 18 cases (20.45%);misdiagnosis disease including virus sex keratitis 14 cases(15.9%),chronic blepharitis in 13 cases(14.77%),the meibomian gland dysfunction(MGD)in 10 cases(11.36%),8 cases of dry eye(9.09%),6 cases of chronic conjunctivitis(6.81%),allergic conjunctivitis 5 cases (5.68%),marginal corneal ulcer in 3 cases(3.4%).Conclusion The clinical characteristics of BKC and viral keratitis,chronic blepharitis, MDGS and dry eye disease are similar and overlap,and clinicians are lack of knowledge and awareness of the disease, the clinical misdiagnosis and mistreatment is vulnerable,especially in primary care doctors.We should pay attention to the clinical patients'history,symptoms,slit lamp microscope examination of palpebral and conjunctival and corneal conditions,etc.thus to reduce misdiagnosis and avoid medical disputes.
