PMC6287055_01
Large pedunculated white-yellowish pseudomembrane in upper tarsal conjunctiva.
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fig1
Ophthalmologic examination found a large, yellowish-white pedunculated pseudomembrane in the superior tarsal conjunctiva (Fig 1).
White-yellowish pseudomembranes in vaginal introitus.
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Vulvar exploration found the presence of similar asymptomatic white-yellowish membranes in the vaginal introitus (Fig 2).
Conjunctival pseudomembrane biopsy shows a periodic acid-Schiff-positive deposit in the dermis. (Original magnification: x20.)
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Histologic study of the conjunctival and genital lesions showed hyaline-positive periodic acid-Schiff material in the stroma (Fig 3).
Direct immunofluorescence of conjunctival pseudomembrane with antifibrinogen antibodies where deposits of fibrinogen are observed in the dermis.
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Direct immunofluorescence showed multiple deposits of fibrinogen in the dermis (Fig 4).