Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum
Purpose: To study the clinical profile and management outcomes of histopathologically proven cases of eyelid molluscum contagiosum (MC). Materials and Methods: A retrospective analysis of the medical records of patients presenting to a tertiary eye care center between January 1995 and December 2018...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
Series: | TNOA Journal of Ophthalmic Science and Research |
Subjects: | |
Online Access: | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=1;spage=5;epage=8;aulast=Mukherjee |
_version_ | 1818558147095166976 |
---|---|
author | Bipasha Mukherjee Harshit Vaidya Md Shahid Alam |
author_facet | Bipasha Mukherjee Harshit Vaidya Md Shahid Alam |
author_sort | Bipasha Mukherjee |
collection | DOAJ |
description | Purpose: To study the clinical profile and management outcomes of histopathologically proven cases of eyelid molluscum contagiosum (MC). Materials and Methods: A retrospective analysis of the medical records of patients presenting to a tertiary eye care center between January 1995 and December 2018 was carried out. Of 67 patients clinically suspected of harboring molluscum lesions of the eyelids, 32 were confirmed on histopathology. Results: Mean age of the patients was 7 years (1.3–69). Of 32 patients, 17 (53%) were males and 15 (47%) were females. Eyelid mass lesion was the most common complaint (87.5%). Lower eyelid was the most common site (14/44%). Eighteen (56%) patients had a solitary lesion whereas 14 (44%) had multiple lesions. Characteristic umbilication was seen in 14 (44%) cases. Associated ocular surface findings were observed in 21 (66%) patients, of which most commonly noted were follicles, papillae, and eyelid edema. Lymphadenopathy was observed in two patients. Excision with or without cautery was performed in all patients. One patient had a recurrence after 5 months. None of the patients were immunocompromised. Most common misdiagnosis was sebaceous cyst (5), chalazia (2), and viral warts (2). A positive clinicopathological correlation was found in 59.34% cases. Conclusion: MC is a common infectious eyelid lesion in immunocompetent children. Characteristic central umbilication of the lesion provides a clue to clinical diagnosis; however, it can mimic many other eyelid lesions. Complete excision offers cure in almost all cases. |
first_indexed | 2024-12-14T00:08:56Z |
format | Article |
id | doaj.art-a77ad62d157d4547ad52652021b3cc35 |
institution | Directory Open Access Journal |
issn | 2589-4528 2589-4536 |
language | English |
last_indexed | 2024-12-14T00:08:56Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | TNOA Journal of Ophthalmic Science and Research |
spelling | doaj.art-a77ad62d157d4547ad52652021b3cc352022-12-21T23:25:51ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362020-01-015815810.4103/tjosr.tjosr_105_19Clinical Profile and Management Outcomes of Periocular Molluscum ContagiosumBipasha MukherjeeHarshit VaidyaMd Shahid AlamPurpose: To study the clinical profile and management outcomes of histopathologically proven cases of eyelid molluscum contagiosum (MC). Materials and Methods: A retrospective analysis of the medical records of patients presenting to a tertiary eye care center between January 1995 and December 2018 was carried out. Of 67 patients clinically suspected of harboring molluscum lesions of the eyelids, 32 were confirmed on histopathology. Results: Mean age of the patients was 7 years (1.3–69). Of 32 patients, 17 (53%) were males and 15 (47%) were females. Eyelid mass lesion was the most common complaint (87.5%). Lower eyelid was the most common site (14/44%). Eighteen (56%) patients had a solitary lesion whereas 14 (44%) had multiple lesions. Characteristic umbilication was seen in 14 (44%) cases. Associated ocular surface findings were observed in 21 (66%) patients, of which most commonly noted were follicles, papillae, and eyelid edema. Lymphadenopathy was observed in two patients. Excision with or without cautery was performed in all patients. One patient had a recurrence after 5 months. None of the patients were immunocompromised. Most common misdiagnosis was sebaceous cyst (5), chalazia (2), and viral warts (2). A positive clinicopathological correlation was found in 59.34% cases. Conclusion: MC is a common infectious eyelid lesion in immunocompetent children. Characteristic central umbilication of the lesion provides a clue to clinical diagnosis; however, it can mimic many other eyelid lesions. Complete excision offers cure in almost all cases.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=1;spage=5;epage=8;aulast=Mukherjeehenderson–paterson bodiesmolluscum contagiosumpoxvirusumbilication |
spellingShingle | Bipasha Mukherjee Harshit Vaidya Md Shahid Alam Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum TNOA Journal of Ophthalmic Science and Research henderson–paterson bodies molluscum contagiosum poxvirus umbilication |
title | Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum |
title_full | Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum |
title_fullStr | Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum |
title_full_unstemmed | Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum |
title_short | Clinical Profile and Management Outcomes of Periocular Molluscum Contagiosum |
title_sort | clinical profile and management outcomes of periocular molluscum contagiosum |
topic | henderson–paterson bodies molluscum contagiosum poxvirus umbilication |
url | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=1;spage=5;epage=8;aulast=Mukherjee |
work_keys_str_mv | AT bipashamukherjee clinicalprofileandmanagementoutcomesofperiocularmolluscumcontagiosum AT harshitvaidya clinicalprofileandmanagementoutcomesofperiocularmolluscumcontagiosum AT mdshahidalam clinicalprofileandmanagementoutcomesofperiocularmolluscumcontagiosum |