Alrajeh Mohammed, Alessa Dalal, Maktabi Azza M, Al Alsheikh Osama
Oculoplastics and Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, Al-Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2018 Oct-Dec;32(4):338-340. doi: 10.1016/j.sjopt.2018.01.005. Epub 2018 Feb 8.
Molluscum contagiosum is a benign viral cutaneous infection. It typically presents as an asymptomatic centrally umbilicated nodule 3-5 mm in diameter. Susceptible patients are children and adults receiving immunosuppressive therapy. We report a case of an eyelid molluscum contagiosum in a 5-year-old boy with no risk factors and a 2-week history of a large localized ulcerating mass of the left upper eyelid. The mass was totally excised, and diagnosis of molluscum contagiosum was confirmed in the histopathology study. Microscopic examination revealed enlarged keratinocytes, and acquired eosinophilic Henderson-Patterson inclusion bodies were also detected. Such ulcerating solitary lesions can be misdiagnosed as infected epidermal cysts, keratoacanthoma, or infected chalazions; therefore, molluscum contagiosum should be considered in the differential diagnosis. Complete excisional biopsy of the mass is diagnostic and curative.
传染性软疣是一种良性病毒性皮肤感染。它通常表现为直径3 - 5毫米、无症状的中央有脐凹的结节。易感患者为儿童和接受免疫抑制治疗的成年人。我们报告一例5岁男孩的眼睑传染性软疣病例，该男孩无危险因素，左上眼睑有一个大的局限性溃疡性肿物，病程2周。肿物被完全切除，组织病理学研究证实为传染性软疣。显微镜检查显示角质形成细胞增大，还检测到获得性嗜酸性亨德森 - 帕特森包涵体。这种溃疡性孤立性病变可能被误诊为感染性表皮囊肿、角化棘皮瘤或感染性睑板腺囊肿；因此，鉴别诊断时应考虑传染性软疣。肿物的完整切除活检具有诊断和治疗作用。
