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TitreRecurring hyphaema as the presenting symptom of a juvenile xanthogranuloma.
ButTo 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.
MéthodesCase report and review of the medical literature.
RésultatsThe 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.
ConclusionJuvenile 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
NomVANDEWALLE
InitialesE
InstitutUniversity Hospitals Leuven
VilleLeuven
Auteur 2
NomVan Der Hauwaert
InitialesN
InstitutSint Augustinus Hospital
VilleAntwerpen
Auteur 3
NomCasteels
InitialesI
InstitutUniversity Hospitals Leuven
VilleLeuven
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