Blepharitis differential diagnosis: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(19 intermediate revisions by 5 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Blepharitis}}
{{Blepharitis}}
{{CMG}} {{AE}} {{SaraM}}
{{CMG}}; {{AE}} {{SaraM}}


==Overview==
==Overview==
Blepharitis must be differentiated from [[allergic contact dermatitis]], [[conjunctivitis]], [[trichiasis]], [[dry eye syndrome]], [[keratitis]], [[hordeolum]], [[chalazion]], [[rosacea]], and [[sebaceous|sebaceous carcinoma]].<ref name="pmid15534133">{{cite journal| author=Mathers WD, Choi D| title=Cluster analysis of patients with ocular surface disease, blepharitis, and dry eye. | journal=Arch Ophthalmol | year= 2004 | volume= 122 | issue= 11 | pages= 1700-4 | pmid=15534133 | doi=10.1001/archopht.122.11.1700 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15534133  }} </ref>
Blepharitis must be differentiated from other diseases that cause eye itching, irritation, burning, and foreign body sensation such as [[allergic contact dermatitis]], [[conjunctivitis]], [[trichiasis]], [[dry eye syndrome]], [[keratitis]], [[hordeolum]], [[chalazion]], [[rosacea]], and [[sebaceous|sebaceous carcinoma]].


==Differentiating Blepharitis from Other Diseases==
Blepharitis must be differentiated from other conditions associated with eyelid inflammation, including:<ref>“Blepharitis - Preferred Practice Pattern Guideline - 2013 - American Academy of Ophthalmology.” http://www.aao.org/preferred-practice-pattern/blepharitis-ppp--2013.</ref>


==Differentiating Conjunctivitis from Other Diseases==
{| class="wikitable" style = "width: 900px"
Blepharitis must be differentiated from:<ref name="pmid15534133">{{cite journal| author=Mathers WD, Choi D| title=Cluster analysis of patients with ocular surface disease, blepharitis, and dry eye. | journal=Arch Ophthalmol | year= 2004 | volume= 122 | issue= 11 | pages= 1700-4 | pmid=15534133 | doi=10.1001/archopht.122.11.1700 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15534133  }} </ref><ref name="pmid19383269">{{cite journal| author=Lemp MA, Nichols KK| title=Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment. | journal=Ocul Surf | year= 2009 | volume= 7 | issue= 2 Suppl | pages= S1-S14 | pmid=19383269 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19383269  }} </ref><ref name="pmid4236660">{{cite journal| author=Beare JM| title=Blepharitis and related conditions. | journal=Proc R Soc Med | year= 1969 | volume= 62 | issue= 1 | pages= 5-7 | pmid=4236660 | doi= | pmc=2279072 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4236660  }} </ref><ref name="pmid3818198">{{cite journal| author=Bowman RW, Dougherty JM, McCulley JP| title=Chronic blepharitis and dry eyes. | journal=Int Ophthalmol Clin | year= 1987 | volume= 27 | issue= 1 | pages= 27-35 | pmid=3818198 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3818198  }} </ref><ref name=Blepharitis-1> American Academy of Ophthalmology/ eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016 </ref>
|-
! colspan="2" style="text-align: center;" | '''Differential diagnosis of blepharitis'''
|-
| '''Condition'''
| '''Entity'''
|-
| Bacterial infections
|
* [[Impetigo]] (due primarily to ''Staphylococcus aureas'')
* [[Erysipelas]] (due primarily to ''Streptococcus pyogenes'')
|-
| Viral infections
|
* [[Herpes simplex virus]]
* [[Molluscum contagiosum]]
* [[Varicella zoster virus]]
* [[Papillomavirus]]
* [[Vaccinia]]
|-
| Parasitic infections
|
* Pediculosis palpebrarum (Phthirus pubis)
|-
| Immunologic conditions
|
* [[Atopic dermatitis]]
* [[Contact dermatitis]]
* [[Erythema multiforme]]
* [[Pemphigus foliaceus]]
* Ocular mucous membrane [[pemphigoid]] (OMMP)
* [[Stevens-Johnson syndrome]]
* [[Discoid lupus]]
* [[Dermatomyositis]]
* [[Graft-versus-host disease]] (GVHD)
* [[Crohn disease]]
|-
| Dermatoses
|
* [[Psoriasis]]
* [[Ichthyosis]]
* [[Exfoliative dermatitis]]
* [[Erythroderma]]
|-
| Benign eyelid tumors
|
* Pseudoepitheliomatous hyperplasia
* [[Actinic keratosis]]
* [[Squamous cell papilloma]]
* [[Sebaceous gland]] [[hyperplasia]]
* [[Hemangioma]]
* [[Pyogenic granuloma]]
|-
| Malignant eyelid tumors
|
* [[Basal cell carcinoma]]
* [[Squamous cell carcinoma]]
* Sebaceous carcinoma
* [[Melanoma]]
* [[Kaposi sarcoma]]
* [[Mycosis fungoides]]
|-
| Trauma
|
* Chemical
* Thermal
* Radiation
* Mechanical
* Surgical
|-
| Toxic conditions
|
* Medicamentosa
|-
|}
 
Blepharitis must be differentiated from other diseases that cause red, swollen, and itchy eyes, including:<ref name="pmid15534133">{{cite journal| author=Mathers WD, Choi D| title=Cluster analysis of patients with ocular surface disease, blepharitis, and dry eye. | journal=Arch Ophthalmol | year= 2004 | volume= 122 | issue= 11 | pages= 1700-4 | pmid=15534133 | doi=10.1001/archopht.122.11.1700 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15534133  }} </ref><ref name="pmid19383269">{{cite journal| author=Lemp MA, Nichols KK| title=Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment. | journal=Ocul Surf | year= 2009 | volume= 7 | issue= 2 Suppl | pages= S1-S14 | pmid=19383269 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19383269  }} </ref><ref name="pmid4236660">{{cite journal| author=Beare JM| title=Blepharitis and related conditions. | journal=Proc R Soc Med | year= 1969 | volume= 62 | issue= 1 | pages= 5-7 | pmid=4236660 | doi= | pmc=2279072 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4236660  }} </ref><ref name="pmid3818198">{{cite journal| author=Bowman RW, Dougherty JM, McCulley JP| title=Chronic blepharitis and dry eyes. | journal=Int Ophthalmol Clin | year= 1987 | volume= 27 | issue= 1 | pages= 27-35 | pmid=3818198 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3818198  }} </ref><ref name=Blepharitis-1> Blepharitis. American Academy of Ophthalmology/eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016 </ref><ref name="pmid10922425">{{cite journal| author=Leibowitz HM| title=The red eye. | journal=N Engl J Med | year= 2000 | volume= 343 | issue= 5 | pages= 345-51 | pmid=10922425 | doi=10.1056/NEJM200008033430507 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10922425  }} </ref>
*[[Allergic contact dermatitis]]
*[[Allergic contact dermatitis]]
*[[Allergic conjunctivitis]] (Atopic Keratoconjunctivitis)
*[[Allergic conjunctivitis]] (atopic keratoconjunctivitis)
*[[Bacterial conjunctivitis]]
*[[Bacterial conjunctivitis]]
*[[Viral conjunctivitis]]
*[[Viral conjunctivitis]]
Line 20: Line 97:
*[[Rosacea]]
*[[Rosacea]]
*[[Superior limbic keratoconjunctivitis]]
*[[Superior limbic keratoconjunctivitis]]
*[[Contact lens|Contact Lens Complications]]
*[[Contact lens|Contact lens complications]]
*[[Sebaceous|Sebaceous carcinoma]] (should be suspected in a patient with persistent [[unilateral]] eyelid inflammation)
*[[Sebaceous|Sebaceous carcinoma]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}


[[Category:Infectious disease]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Ophthalmology]]
[[Category:Ophthalmology]]
[[Category:Immunology]]
[[Category:Primary care]]
{{WH}}
{{WS}}

Latest revision as of 20:38, 29 July 2020

Blepharitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Blepharitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Blepharitis differential diagnosis On the Web

recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Blepharitis differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

National Guidelines Clearinghouse

NICE Guidance

FDA on Blepharitis differential diagnosis

CDC on Blepharitis differential diagnosis

Blepharitis differential diagnosis in the news

Blogs on Blepharitis differential diagnosis

Directions to Hospitals Treating Blepharitis

Risk calculators and risk factors for Blepharitis differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Blepharitis must be differentiated from other diseases that cause eye itching, irritation, burning, and foreign body sensation such as allergic contact dermatitis, conjunctivitis, trichiasis, dry eye syndrome, keratitis, hordeolum, chalazion, rosacea, and sebaceous carcinoma.

Differentiating Blepharitis from Other Diseases

Blepharitis must be differentiated from other conditions associated with eyelid inflammation, including:[1]

Differential diagnosis of blepharitis
Condition Entity
Bacterial infections
  • Impetigo (due primarily to Staphylococcus aureas)
  • Erysipelas (due primarily to Streptococcus pyogenes)
Viral infections
Parasitic infections
  • Pediculosis palpebrarum (Phthirus pubis)
Immunologic conditions
Dermatoses
Benign eyelid tumors
Malignant eyelid tumors
Trauma
  • Chemical
  • Thermal
  • Radiation
  • Mechanical
  • Surgical
Toxic conditions
  • Medicamentosa

Blepharitis must be differentiated from other diseases that cause red, swollen, and itchy eyes, including:[2][3][4][5][6][7]

References

  1. ↑ “Blepharitis - Preferred Practice Pattern Guideline - 2013 - American Academy of Ophthalmology.” http://www.aao.org/preferred-practice-pattern/blepharitis-ppp--2013.
  2. ↑ Mathers WD, Choi D (2004). "Cluster analysis of patients with ocular surface disease, blepharitis, and dry eye". Arch Ophthalmol. 122 (11): 1700–4. doi:10.1001/archopht.122.11.1700. PMID 15534133.
  3. ↑ Lemp MA, Nichols KK (2009). "Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment". Ocul Surf. 7 (2 Suppl): S1–S14. PMID 19383269.
  4. ↑ Beare JM (1969). "Blepharitis and related conditions". Proc R Soc Med. 62 (1): 5–7. PMC 2279072. PMID 4236660.
  5. ↑ Bowman RW, Dougherty JM, McCulley JP (1987). "Chronic blepharitis and dry eyes". Int Ophthalmol Clin. 27 (1): 27–35. PMID 3818198.
  6. ↑ Blepharitis. American Academy of Ophthalmology/eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016
  7. ↑ Leibowitz HM (2000). "The red eye". N Engl J Med. 343 (5): 345–51. doi:10.1056/NEJM200008033430507. PMID 10922425.
Retrieved from "https://www.wikidoc.org/index.php?title=Blepharitis_differential_diagnosis&oldid=1635228"