| Past Issue | Volume 5, Number 1, 2003 | | Unifocal Langerhans Cell Histiocytosis - an Atypical Presentation |
S Kumar, A Sood, B Badhu, M Lakhey, R Kulshreshtha
Department of Ophthalmology and Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
This is a report of unifocal langerhans cell histiocytosis presenting atypically as a fungating granuloma in a 12-year-old boy. There was a history of incision and drainage for a tender upper eyelid swelling mistaken for a lid abscess. An exuberant granulomatous growth developed at the site of the incision, which did not regress with antibiotics and anti-inflammatory agents. Incision biopsy and histopathological examination showed eosinophils and Langerhans cells, thus confirming the diagnosis. Treatment with intralesional steroids resulted in a remarkable and complete regression. Although upper lid eosinophilic granulomas are known to occur, this is a unique case on account of its presentation, which has not been reported before.
Key Words: Eosinophils, Fungating, Granuloma, Langerhans, Steroids, Unifocal
Asian J Ophthalmol 2003;5(1):17-19.
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