T Verhamme1, A Arnaout, W H Ayliffe. 1. Department of Ophthalmology, Mayday University Hospital, London, UK. thibault.verhamme@gmail.com
Abstract
CLINICAL REPORT: We report a case of a 42-year old lady with recurrent bilateral nodular conjunctival inflammation following a diffuse papulo-vesicular rash, mainly over her trunk and scalp. Slitlamp examination revealed limbal and bulbar inflammatory nodules with secondary corneal involvement. DISCUSSION: Pityriasis lichenoides is considered to be a spectrum of uncommon, acquired maculo-papular skin eruptions. The diagnosis is made by the combination of a typical clinical picture and matching histopathology. In severe cases, there may be associated with mucous membrane involvement. CONCLUSION: Although ocular involvement has been reported in pityriasis lichenoides, this is the first report of conjunctival inflammatory nodules with secondary corneal ulceration as a part of the manifestations of the pityriasis lichenoides spectrum. Treatment with topical steroid drops was required to bring this condition under control.
CLINICAL REPORT: We report a case of a 42-year old lady with recurrent bilateral nodular conjunctival inflammation following a diffuse papulo-vesicular rash, mainly over her trunk and scalp. Slitlamp examination revealed limbal and bulbar inflammatory nodules with secondary corneal involvement. DISCUSSION: Pityriasis lichenoides is considered to be a spectrum of uncommon, acquired maculo-papular skin eruptions. The diagnosis is made by the combination of a typical clinical picture and matching histopathology. In severe cases, there may be associated with mucous membrane involvement. CONCLUSION: Although ocular involvement has been reported in pityriasis lichenoides, this is the first report of conjunctival inflammatory nodules with secondary corneal ulceration as a part of the manifestations of the pityriasis lichenoides spectrum. Treatment with topical steroid drops was required to bring this condition under control.