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| episcleritis [2023/03/08 18:15] – [Associated Conditions] Scott Larson | episcleritis [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
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| ====== Episcleritis ====== | ====== Episcleritis ====== | ||
| - | Self-limited inflammation of the episcleral layers (loose connective tissue layers with a vascular plexus between the conjunctiva and the sclera that are contiguous with Tenon' | + | * Self-limited inflammation of the episcleral layers (loose connective tissue layers with a vascular plexus between the conjunctiva and the sclera that are contiguous with Tenon' |
| + | * Female Adults more common than Male adults and both more common than in children | ||
| + | * More common in boys than girls | ||
| + | * 50% may have a concurrent eye disease | ||
| ===== Associated Conditions ===== | ===== Associated Conditions ===== | ||
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| * Topiramate | * Topiramate | ||
| * Pamidronate | * Pamidronate | ||
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| + | ==== Work-Up ==== | ||
| + | * Consider if recurrent or other signs consistent with connective tissue disease (joint pain, fevers etc) vascular or dermatologic disease | ||
| + | * Possible testing: | ||
| + | * Rheumatoid factor (Rheumatoid Arthritis) | ||
| + | * Antinuclear antibody (collagen vascular disease) | ||
| + | * Serum uric acid (gout), | ||
| + | * Erythrocyte sedimentation rate (inflammation, | ||
| + | * Complete blood count with differential (infection, malignancy) | ||
| + | * VDRL/ | ||
| + | * Urinalysis | ||
| + | * PPD or Quantiferon Gold (mycobacteria) | ||
| + | * Chest x-ray (mycobacgteria) | ||
| + | * HLA-B27 (collagen vascular disease) | ||
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