Ligneous Conjunctivitis
reveals Plasminogen
deficiency Type 1 (plgd-1)1

Ligneous conjunctivitis animation

PLGD-1 is
characterized
by lesions with a
woody texture1

Illustration representing how plasminogen deficiency often presents as woody growths on the mucous membranes

LC is the most common manifestation of PLGD-1, a systemic disease caused by low levels of functional plasminogen.1

Lesions can form on mucous membranes throughout the body, both internally and externally.1

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Among those with ligneous conjunctivitis

8 of 10 with ligneous conjunctivitis exhibited lesions in other parts of the body

exhibited lesions in other parts of the body2†

Patient pool primarily originates from Turkey and various Arabian countries (61%). When compared to previously published cases, this group of patients presented at a younger mean age (1 year and 10 months old) and shows a high rate of consanguinity (61%).

What is plasminogen deficiency type 1?

PLGD-1 is a systemic protein deficiency. Individuals with PLGD-1 have both abnormally low plasminogen levels and reduced plasminogen activity, resulting in the formation of fibrin-rich lesions on mucous membranes throughout the body.4 Symptoms of PLGD-1 often resemble those of other more common conditions.5 This autosomal recessive disorder occurs when a person has a mutation in both copies of the gene for plasminogen.6

For a while we thought it was pink eye, but we kept going back to the doctor because it wasn't getting better.
Amy & Regan
Graphic showing CPT code 85420 for plasminogen activity testing

PLGD-1 can be diagnosed with a simple blood test for plasminogen activity1

Undiagnosed patients may be at risk of severe complications from untreated lesions5

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What is plasminogen?

Plasminogen is the inactive precursor of plasmin, an enzyme that plays a key role in the prevention and dissolution of fibrin clots and wound healing.7 Without functional plasminogen, the body is unable to degrade fibrin, which plays a key role in blood clotting.4

Understanding ligneous conjunctivitis

Explore signs and symptoms of the most common manifestation of PLGD-1.

Recognize LC >

References: 1. Mehta R, Shapiro AD. Plasminogen deficiency. Haemophilia. 2008;14(6):1261-1268. 2. Klammt J, Kobelt L, Aktas D, et al. Identification of three novel plasminogen (PLG) gene mutations in a series of 23 patients with low PLG activity. Thromb Haemost. 2011;105(3):454-460. 3. Data on file. Kedrion Biopharma Inc. 4. Schuster V, Hügle B, Tefs K. Plasminogen deficiency. J Thromb Haemost. 2007;5(12):2315-2322. 5. Shapiro AD, Nakar C. How I treat type 1 plasminogen deficiency. Blood. 2025;145(25):2954-2965. 6. Tefs K, Gueorguieva M, Klammt J, et al. Molecular and clinical spectrum of type I plasminogen deficiency: a series of 50 patients. Blood. 2006;108(9):3021-3026. 7. Congenital type 1 plasminogen deficiency. NORD. Updated February 6, 2025. Accessed December 4, 2025. https://rarediseases.org/rare-diseases/congenital-plasminogen-deficiency