title: Chronic keratoconjunctivitis with dermatitis as a presenting sign of child abuse.
abstract: A 13-month-old girl presented with chronic keratoconjunctivitis with dermatitis. She was initially diagnosed with corneal abrasion and mild preseptal cellulitis and was treated with topical and oral antibiotics. After failing to respond to standard therapy, she was eventually identified as a victim of abuse. We discuss key findings that could have provoked earlier recognition.
authors.affiliation: Department of Ophthalmology, University of Washington, Seattle, Washington, USA.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Moore
authors.forename: Erin P
authors.initials: EP
authors.lastname: Herlihy
authors.forename: Avery H
authors.initials: AH
authors.lastname: Weiss
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002649:Child Abuse / Q000175:diagnosis*; D002908:Chronic Disease; D003315:Cornea / Q000187:drug effects; D003318:Corneal Opacity / Q000139:chemically induced; D003872:Dermatitis / Q000175:diagnosis*; D005141:Eyelid Diseases / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D007637:Keratoconjunctivitis / Q000175:diagnosis*; D054517:Orbital Cellulitis / Q000175:diagnosis; D012008:Recurrence; D012973:Sodium Hypochlorite / Q000633:toxicity; D015348:Vision, Binocular; D014792:Visual Acuity
chemical_list: D000900:Anti-Bacterial Agents; D012973:Sodium Hypochlorite