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KMID : 0360220210620040556
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 4 p.556 ~ p.560
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Solitary Conjunctival Xanthoma at the Plica Semilunaris
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Kim Min-Jeong
Kim Kyoung-Woo
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Abstract
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Purpose: To report a case of conjunctival xanthoma occurring at the plica semilunaris.
Case summary: A 39-year-old female with no specific medical history visited our hospital due to a recent incidental detection ofa painless mass in the nasal conjunctiva of her right eye. Slit-lamp bio-microscopic examination revealed a yellowish movableoval mass with inner semi-translucency in the temporal area of the plica semilunaris. The vertical length of the mass was approximately8 mm. It was well-demarcated at its temporal border; however, the nasal border was obscured behind the plicasemilunaris. Considering a possible conjunctival reactive lymphoid hyperplasia, topical and systemic steroids as well as oraldoxycycline were administrated for 1 week; however, the lesion showed no improvement. An excisional biopsy was performed;pathological diagnosis indicated conjunctival xanthoma. The patient’s blood lipid profile was within the normal range.
Conclusion: Conjunctival xanthoma can develop near the plica semilunaris. Because it is difficult to distinguish xanthoma fromother diseases including orbital fat prolapse or lymphoproliferative disease, rapid biopsy would be helpful for an early diagnosis.
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KEYWORD
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Biopsy, Conjunctival caruncle, Plica semilunaris, Xanthoma
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