Ocular manifestations of acute graft versus host disease after allogeneic bone marrow transplant
Colón-Acevedo, B.; Rivera-Román, L.; Candelario, N.; Sánchez, J.
Boletin de la Asociacion Medica de Puerto Rico 106(2): 30-32
2014
ISSN/ISBN: 0004-4849 PMID: 25065048 Document Number: 702528
A 17-year-old-male with Sickle Cell Disease underwent allogenic bone marrow transplant. Two years after the transplant the patient developed violaceous lichenoid papules coalescing into plaques over the face and upper extremities complaining of decrease visual acuity, foreign body sensation, and eye pain. A slit lamp examination showed injected conjunctiva, superficial I punctate keratopathy and decreased baseline Schirmmer test. Dermatologic evaluation and biopsy demonstrated chronic graft versus host disease along with the diagnosis of secondary keratoconjunctivitis sicca.
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