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Juvenile Xanthogranuloma Presenting as Infiltrative Conjunctival Mass in an Adult

Lee, Kyoung Min MD*,†; Wee, Won Ryang MD*,†; Lee, Jin-hak MD*,‡; Kim, Mee Kum MD*,†

Cornea:
doi: 10.1097/ICO.0b013e31823a077a
Case Report
Abstract

Purpose: To report on the clinical and histopathologic findings of a conjunctival juvenile xanthogranuloma in an adult.

Methods: Case report and literature review.

Results: A 43-year-old man developed 2 yellowish conjunctival lumps not associated with other ocular or systemic findings. A half-corneal diameter–sized main mass was located at the 2-o'clock position, and the other 1/8-corneal diameter–sized mass was located at the 4-o'clock position. The masses were vitelliform in appearance with poor supplying vessels. The masses were removed en bloc by conjunctivectomy. Cryotherapy was done along the excision margin. Histopathologic examination revealed dense infiltration by histiocytes with background of multiple lymphocytes and Touton giant cells. Immunohistochemical staining was positive for CD3 (T-cell marker) and CD68 (histiocytic marker) but negative for CD1a and S-100 (Langerhans cell marker).

Conclusion: Juvenile xanthogranuloma may present as conjunctival infiltrative masses in adults. Immunophenotyping is helpful in differentiating it from a more malignant lesion.

Author Information

*Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea

Seoul Artificial Eye Center Clinical Research Institute, Seoul National University Hospital, Seoul, Korea

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

Reprints: Mee Kum Kim, Seoul Artificial Eye Center Clinical Research Institute, Seoul National University Hospital, Seoul 110-744, Korea (e-mail: kmk9@snu.ac.kr).

The authors report no conflicts of interest or financial disclosures.

Received February 16, 2010

Accepted May 4, 2010

© 2012 Lippincott Williams & Wilkins, Inc.