Atopic Dermatitis with Bilateral Atopic Cataracts. Presented by Stanford Division of Dermatology.
A 47-year-old, white married housewife and part-time medical records bookkeeper has had a recurrent eczematous eruption of the face, neck, and flexural forearms since the age of 4 months. A few years ago blurring of vision was noted in the left eye and 3 months ago in the right.At present there are symmetrical coalescent erythematous papules and plaques over the entire body with marked lichenification in all flexural creases and on the buttocks. White dermographism is present. There is moderate generalized lymphadenopathy. Many linear excoriations are present on the shins and anterior ankles.Visual acuity is reduced to hand movements at 3 ft. There is a mature cataract on the left, with anterior capsular involvement. On the right anterior and posterior subcapsular opacities are present with capsular involvement in small areas.Many local preparations have been prescribed.