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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 9-11

Mucous membrane pemphigoid mimicking a corneal ulcer: A case report

1 Department of Ophthalmology, AIIMS, Rishikesh, Uttarakhand, India
2 Vitreous and Retina Services Aravind Eye Hospital, Madurai, Tamil Nadu, India
3 Ophthalmology, Former Junior Resident, AIIMS, Rishikesh, India

Correspondence Address:
Neeti Gupta
Department of Ophthalmology, AIIMS, Veerbhadra Road - 249 203, Rishikesh, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2003_22

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Mucous membrane pemphigoid (MMP) is a subepithelial blistering disorder affecting multiple mucous membranes, with ocular involvement in 70% of cases. A 50-year-old man had complaints of gradual and painless diminution of vision associated with redness since three months and had been diagnosed and managed as corneal ulcer outside. The patient did not improve clinically and presented to us with the above complaints. On systemic evaluation, he was found to have multiple skin lesions along with oral and genital ulcers. Punch biopsy of the lesions was suggestive of MMP. The patient was started on topical antibiotics and steroids along with systemic steroids and azathioprine. After one-month follow-up, there was improvement in both the ocular and skin lesions. MMP is a common cause of chronic cicatrizing conjunctivitis. One must be vigilant to diagnose and treat MMP before it presents as a blinding complication.

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