Therapy with a Purified Plasminogen Concentrate in an Infant with Ligneous Conjunctivitis and Homozygous Plasminogen Deficiency
Dorothee Schott, M.D., Carl-Erik Dempfle, M.D., Peter Beck, M.D., Andreas Liermann, M.D., Anita Mohr-Pennert, M.D., Michael Goldner, M.D., Peter Mehlem, M.D., Hiroyuki Azuma, M.D., Volker Schuster, M.D., Anne-Marie Mingers, M.D., Hans Peter Schwarz, M.D., Michael Dieter Kramer, M.D., Hans Liesenhoff, M.D., and Karl Heinz Niessen
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Ligneous conjunctivitis is a rare disease characterized by acuteor chronic recurrent conjunctivitis in which the conjunctivalmembranes acquire a wood-like consistency, due primarily todeposits of fibrin.1,2 Corneal involvement and chronic obstructionof the eye may lead to blindness. The disease is frequentlyassociated with nasopharyngitis, tracheobronchial obstruction,otitis media, vulvovaginitis, and defective wound healing.2,3,4,5,6,7,8,9Pseudomembranous conjunctivitis was first described in 1847by Bouisson,10 and the term "conjunctivitis lignosa" was introducedby Borel in 1933.11 More than 100 cases have been reported inthe literature, but no satisfactory treatment has yet been found.The results of therapy with hyaluronidase . . . [Full Text of this Article]
Case Report
Methods
Histologic Findings
Analysis of Mutations
Direct Detection of Mutations
Laboratory Analyses
Lys-Plasminogen
Results
Histologic Evaluation
Molecular Genetic Findings
Restriction-FragmentLength Analysis
Recovery and Half-Life of Lys-Plasminogen
Effect of Lys-Plasminogen on Measures of Fibrinolysis and Coagulation
Clinical Course
Discussion
Source Information
From the Department of Pediatrics (D.S., P.B., M.G., P.M.), the First Department of Medicine (C.-E.D.), and the Department of Ophthalmology (A.L.), Klinikum Mannheim, University of Heidelberg, Mannheim, Germany; the Hyland-Immuno Division of Baxter Healthcare, Heidelberg, Germany (A.M.-P.), and Vienna, Austria (H.P.S.); the First Department of Internal Medicine, University of Tokushima, Tokushima, Japan (H.A.); the Department of Pediatrics, University of Wuerzburg, Wuerzburg, Germany (V.S., A.-M.M.); and the Department of Immunology, University of Heidelberg, Heidelberg, Germany (M.D.K.). Other authors were Hans Liesenhoff, M.D., Department of Ophthalmology, and Karl Heinz Niessen, M.D., Department of Pediatrics, Klinikum Mannheim, University of Heidelberg, Mannheim, Germany.Presented in part at the 41st Annual Meeting of the Gesellschaft für Thrombose- und Hämostaseforschung, Vienna, Austria, February 2226, 1997, and at the 39th Annual Meeting of the American Society of Hematology, San Diego, Calif., December 5, 1997.
Address reprint requests to Dr. Schott at the Klinikum Mannheim Kinderklinik, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany.
References
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