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June 1984

Recurrent Episcleritis and Emotional Stress

Author Affiliations

New Orleans

Arch Ophthalmol. 1984;102(6):821-824. doi:10.1001/archopht.1984.01040030647004

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To the Editor.  —Simple episcleritis is characterized by transient episodes of episcleral inflammation, usually confined to a quadrant of the globe between rectus muscles. The disorder rarely affects visual acuity and its cause in most cases remains obscure despite thorough medical evaluation. I would like to share my experience with a patient having recurrent episcleritis that was closely associated with emotional stress.

Report of a Case.  —A 32-year-old physician was initially seen three days prior to his board examination in surgery because of a one-week history of mild irritation and injection in the right eye. He was otherwise in good health, but during the first two years of medical school the patient had a recurrent eczematous rash on the antecubital fossa. The rash appeared consistently five to six days before medical school examinations, progressed in severity until the time of the examinations, and then spontaneously resolved within two to four

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