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...

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Main Authors: Bipasha Mukherjee, Harshit Vaidya, Md Shahid Alam
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
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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.
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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
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