Evidence map›Paper›PMID 40439850›Full record

ArticleJournal of ophthalmic inflammation and infection2025

Childhood-onset ocular mucous membrane pemphigoid presenting with peripheral ulcerative keratitis: a case report and review of the literature.

Eugenia M Ramos-Dávila, Raul E Ruiz-Lozano, Alejandro Rodríguez-García, Carlos Álvarez-Guzmán

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Article in Journal of ophthalmic inflammation and infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eugenia M Ramos-DávilaTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico.ORCID https://orcid.org/0000-0002-1105-2848
Raul E Ruiz-LozanoBascom Palmer Eye Institute, University of Miami, Miami, FL, USA.ORCID https://orcid.org/0000-0001-7022-2395
Alejandro Rodríguez-GarcíaTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico.ORCID http://orcid.org/0000-0002-1419-2109
Carlos Álvarez-GuzmánTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico. carlos.alvarez.g@gmail.com.ORCID https://orcid.org/0000-0001-7236-950X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to describe the case of a pediatric patient diagnosed with mucous membrane pemphigoid (MMP) with exclusive ocular involvement presenting at diagnosis with peripheral ulcerative keratitis and provide a review of the literature.

methodsA 12-year-old girl presented with cicatricial conjunctivitis and peripheral ulcerative keratitis (PUK). A conjunctival biopsy and direct immunofluorescence revealed linear deposits of IgG, IgM, and C3 at the basement membrane zone, confirming a diagnosis of ocular MMP.

resultsThe patient was initially treated with dapsone 25 mg/day and prednisone 40 mg/day along with topical treatment including cyclosporine 0.05%, loteprednol etabonate 0.05%, and sodium hyaluronate 0.15% and trehalose 3%. Inflammation persisted as an increase in the extension of symblepharon was documented. Subsequently, dapsone was switched to oral methotrexate 15 mg/week and prednisone was successfully tapered to 5 mg/day. After three years of follow-up, disease activity remained quiescent.

conclusionsPediatric mucous membrane pemphigoid with ocular involvement is a rare condition of which few reports have been published, resulting in scarce information regarding its clinical course and response to treatment. We report the first case observed in a Hispanic patient, opening with peripheral ulcerative keratitis, and responding successfully to methotrexate.

Identifiers

PMID40439850
PMCPMC12123039

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