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Juvenile Xanthogranuloma of the Limbus in an Adult
Arch Ophthalmol. 2002;120:976-977.
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Juvenile xanthogranuloma (JXG) is a cutaneous granulomatous disease
rarely seen in adults and has only been reported to occur at the limbus in
very few cases. We describe a patient with an unusual corneal limbal mass
and a skin rash, who was diagnosed histologically as having JXG. The clinical
features and management of this rare entity are discussed.
Report of a Case
A 39-year-old man came to our department with a painless limbal mass
on his right eye that had enlarged during 3 months. His visual acuity was
20/40 OU and on slitlamp examination, a yellowish, well-circumscribed, vascularized,
round nodule was evident at the 6-o'clock position of the right limbus, measuring
6 mm in diameter.
The visual axis was clear, and on gonioscopy, neither the trabecular
meshwork nor the iris was involved. Further ocular and orbital examination
results were unremarkable. Systemic examination revealed an orange-red maculopapular
rash involving the trunk, axillae, groin, and face . . . [Full Text of this Article] Comment
Corresponding author and reprints: Shabbir R. Mohamed, MRCOphth,
Birmingham Midland Eye Centre, Western Road, Birmingham B18 7QH, England (e-mail: shabbir@doctor.com).
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