KMID : 0360220140550101554
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Journal of the Korean Ophthalmological Society 2014 Volume.55 No. 10 p.1554 ~ p.1557
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A Case of Conjunctival Mass with Infectious Mononucleosis by EBV
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Shin Kyoung-Yoon
Chang Moo-Hwan Kyung Sung-Eun
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Abstract
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Purpose: To report a case of conjunctival mass with infectious mononucleosis by Epstein-Barr virus (EBV) confirmed with Epstein-Barr encoding region (EBER) in situ hybridization.
Case summary: A 8 year-old male without underlying disease was referred with counjunctival mass on the right eye starting 3 days ago. In ophthalmologic evaluation, there was injected, nontender, and ¡°salmon patch¡± appearance conjunctival lesion on right superior bulbar conjunctiva. The patient was admitted to pediatrics with sore throat and fever. The tonsil were enlarged and white blood cell count was 14960/uL. EBV polymerase chain reaction (PCR) test and Viral capsid antigen Immunoglobulin M (VAC IgM) test were positive, the diagnose of infectious mononucleosis by EBV was made. After 5 days steroid eyedrop therapy, biopsy was performed because the lesion was not improved. There were lymphocyte infiltration, chronic inflammation and positive in EBER in situ hybridization.
Conclusions: Elevated and pinkish lesion on conjunctiva, EBV lesion should be considered as differential diagnosis.
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KEYWORD
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Conjunctival mass, Infectious mononucleosis
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