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TitelRecurring hyphaema as the presenting symptom of a juvenile xanthogranuloma.
DoelTo report a 13-month old infant with the typical juvenile xanthogranuloma (JXG) skin lesions. She presented to her ophthalmologist with recurrent hyphaema. A lesion of the iris was discovered in the inferior part. The natural history, histological features and treatment of the condition are discussed.
MethodesCase report and review of the medical literature.
ResultatenThe diagnosis of JXG was made by biopsy of a skin lesion. Despite topical steroid drops and three subconjunctival steroid injections, there was no regression of the iris mass. The iris mass subsided after systemic corticosteroid therapy.
ConclusieJuvenile xanthogranuloma is a benign histiocytic cutaneous disorder mainly occurring in children but also affecting the eye. The iris is most commonly involved, but also eyelid, epibulbar lesions, corneal involvement and orbital involvement have been described. JXG of the optic nerve, disc, retina and choroid has rarely been reported.
Auteur 1
NaamVANDEWALLE
InitialenE
InstituutUniversity Hospitals Leuven
StadLeuven
Auteur 2
NaamVan Der Hauwaert
InitialenN
InstituutSint Augustinus Hospital
StadAntwerpen
Auteur 3
NaamCasteels
InitialenI
InstituutUniversity Hospitals Leuven
StadLeuven
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