Properdin-mediated immune ring formation associated with Pseudomonas keratitis.
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To the Editor. —Wessely immune rings of the cornea have been described to occur after infectious corneal ulcers. These rings are composed of polymorphonuclear leukocytes, which collect in a discrete circular region of complement activation around the antigenic entry site. It has long been accepted both experimentally and clinically that the antigenantibody-mediated or classical pathway of complement activation results in a visible Wessely ring ten to 14 days after infection. More recently, Mondino et al 1 have shown in an animal model that the properdin-mediated or alternate pathway of complement activation exhibits ring formation one to two days after injection of Pseudomonas aeruginosa or Pseudomonas endotoxin. Additionally, Mondino et al 2 have proved that properdin can be found in the limbus of normal human corneas. However, to our knowledge, a human correlate of immune ring formation within the time course of properdin-mediated complement cleavage has yet to be described in
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[2] S. I. Brown,et al. Alternate and classical pathway components of complement in the normal cornea. , 1980, A M A Archives of Ophthalmology.
[3] B. Rabin,et al. Corneal rings with gram-negative bacteria. , 1977, Archives of ophthalmology.