Extensive "stalagmite" epi-iridic juvenile xanthogranuloma simulating diffuse melanoma in a 16-year-old girl.

Authors :: Matsunaga D
Williams BK Jr
Desai KB
Shields CL
Source :: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2020 Aug; Vol. 24 (4), pp. 253-255. Date of Electronic Publication: 2020 Jul 02.
Publication Year :: 2020
Abstract: A 16-year-old girl noted worsening redness and photophobia of the right eye that had previously been treated unsuccessfully with sequential courses of topical antibiotics and topical corticosteroids. Clinical examination revealed diffuse flakelike thickening of the iris surface, pupillary margin, and anterior chamber angle, suggesting diffuse iris melanoma. Anterior segment optical coherence tomography depicted the mass as an epi-iridic deposit with "stalagmite" surface appearance. Fine-needle aspiration biopsy confirmed an atypical histiocytic proliferative disorder consistent with juvenile xanthogranuloma. Aggressive topical corticosteroid treatment was started. There were no systemic findings. Following therapy, the lesion resolved completely.<br /> (Copyright © 2020 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)

Subjects :: Adolescent
Female
Humans
Iris
Iris Diseases
Iris Neoplasms
Melanoma diagnosis
Melanoma drug therapy
Xanthogranuloma, Juvenile diagnosis
Xanthogranuloma, Juvenile drug therapy

Language :: English
ISSN :: 1528-3933
Volume :: 24
Issue :: 4
Database :: MEDLINE
Journal :: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
Publication Type :: Report
Accession number :: 32621982
Full Text :: https://doi.org/10.1016/j.jaapos.2020.04.001

Full Text Access

Tools