Three different ophthalmic presentations of juvenile xanthogranuloma

Three cases of juvenile xanthogranuloma from two ophthalmology departments were reviewed. Clinical histories, ophthalmic examination, physical examination, investigations, and treatment of these cases are described. A 4-month-old boy presented with spontaneous hyphema and secondary glaucoma. He was...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2014-06, Vol.20 (3), p.261-263
Main Authors: Lau, Henry H W, Yip, Wilson W K, Lee, Allie, Lai, Connie, Fan, Dorothy S P
Format: Article
Language:English
Subjects:
Astigmatism - etiology
Asymptomatic
Biopsy
Child, Preschool
Cornea
Eye Diseases - etiology
Eyelid Diseases - congenital
Eyelid Diseases - etiology
Eyelids - abnormalities
Glaucoma
Glaucoma - etiology
Histopathology
Humans
Hyphema - etiology
Infant
Iris
Male
Patients
Skin
Steroids
Surgery
Ultrasonic imaging
Visual acuity
Xanthogranuloma, Juvenile - complications
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Summary:Three cases of juvenile xanthogranuloma from two ophthalmology departments were reviewed. Clinical histories, ophthalmic examination, physical examination, investigations, and treatment of these cases are described. A 4-month-old boy presented with spontaneous hyphema and secondary glaucoma. He was treated with intensive topical steroid and anti-glaucomatous eye drops. The hyphema gradually resolved and the intra-ocular pressure reverted to 11 mm Hg without any other medication. Biopsy of his scalp mass confirmed the diagnosis of juvenile xanthogranuloma. A 31-month-old boy presented with a limbal mass. Excisional biopsy of the mass was performed and confirmed it was a juvenile xanthogranuloma. A 20-month-old boy was regularly followed up for epiblepharon and astigmatism. He presented to a paediatrician with a skin nodule over his back. Skin biopsy confirmed juvenile xanthogranuloma. He had no other ocular signs. Presentation of juvenile xanthogranuloma can be very different, about which ophthalmologists should be aware of. Biopsy of the suspected lesion is essential to confirm the diagnosis.
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj134059