Coin-shaped epithelial lesions following an acute attack of erythema multiforme minor with confocal microscopy findings

We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of th...

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Detalles Bibliográficos
Autores principales: Babu, Kalpana, Murthy, Vinay R, Akki, Veeresh P, Prabhakaran, Venkatesh C, Murthy, K R
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Brief Communications
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841377/
https://www.ncbi.nlm.nih.gov/pubmed/20029149
http://dx.doi.org/10.4103/0301-4738.58475
Descripción
Sumario:We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of three days duration. He was diagnosed to have EM minor and was on oral acyclovir. Slit-lamp examination revealed multiple coin-shaped epithelial lesions. Confocal microscopy showed a corresponding conglomerate of hyper-reflective epithelial lesions. The corneal lesions resolved over six weeks with oral steroids and acyclovir. An immunological mechanism is suspected.

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