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Resolution of pityriasis rubra pilaris-induced cicatricial ectropion with systemic low-dose methotrexate. | LitMetric

Resolution of pityriasis rubra pilaris-induced cicatricial ectropion with systemic low-dose methotrexate.

Am J Ophthalmol

Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, University of Colorado Health Sciences Center, Aurora, Colorado 80045, USA.

Published: April 2007

Purpose: To report a case of pityriasis rubra pilaris (PRP)-induced bilateral lower eyelid cicatricial ectropion that resolved with systemic low-dose methotrexate.

Design: Observational case report.

Methods: A retrospective case review of a patient with cicatricial ectropion caused by PRP.

Results: A 82-year-old female presented with bilateral lower eyelid cicatricial ectropion secondary to PRP. The patient did not systemically respond to conventional oral retinoid therapy. She was treated with low-dose methotrexate and experienced dramatic resolution of her signs and symptoms, including complete resolution of her bilateral cicatricial ectropion.

Conclusion: Systemic treatment of PRP with low-dose methotrexate may result in successful treatment of cicatricial ectropion without surgery.

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Source
http://dx.doi.org/10.1016/j.ajo.2006.11.038DOI Listing

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