Moisseiev Elad, Varssano David
Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Case Rep Dermatol. 2010 Jul 12;2(2):125-129. doi: 10.1159/000315443.
To report a case of a patient with pityriasis lichenoides et varioliformis acuta (PLEVA) who developed a conjunctival inflammatory nodule. CASE REPORT: a 13-year-old boy with a diffuse papulovesicular rash diagnosed as PLEVA presented to our clinic complaining of irritation in his right eye. Slitlamp examination revealed a conjunctival inflammatory nodule. His symptoms resolved under topical steroid treatment. DISCUSSION: Pityriasis lichenoides (PL) is a rare condition, diagnosed by a combination of a typical clinical presentation and histopathology. Mucous membrane involvement has been described in severe cases. Ocular involvement in PL has seldom been reported. We suggest that conjunctival inflammatory nodules may be part of the clinical spectrum of this condition and should be looked for and treated in these patients.
报告一例急性痘疮样苔藓样糠疹（PLEVA）患者出现结膜炎性结节的病例。病例报告：一名13岁男孩，患有弥漫性丘疹水疱性皮疹，诊断为PLEVA，到我们诊所就诊，主诉右眼有刺激感。裂隙灯检查发现一个结膜炎性结节。在局部使用类固醇治疗后，他的症状得到缓解。讨论：苔藓样糠疹（PL）是一种罕见疾病，通过典型临床表现和组织病理学相结合来诊断。严重病例中曾有黏膜受累的描述。PL累及眼部鲜有报道。我们认为结膜炎性结节可能是该疾病临床谱的一部分，在这些患者中应予以查找和治疗。
