TY - JOUR KW - Corneal Diseases KW - Diagnosis, Differential KW - Eye Infections, Bacterial KW - Eye Neoplasms KW - Histiocytoma, Benign Fibrous KW - Humans KW - Keratoplasty, Penetrating KW - leprosy KW - Male KW - Middle Aged AU - Wedemeyer L L AU - Fuerst D J AU - Perlman A R AU - McDonnell J AU - Rao N A AB -

We describe a 50-year-old man with a 10-year history of gradually enlarging limbal tumors and conjunctival injection. An excised limbal mass presented a diagnostic challenge histopathologically and was initially believed to be a fibrous histiocytoma. Special stains, however, revealed acid-fast organisms in the fibrous histiocytes, and the diagnosis was changed to corneal leproma. This case confirms the existence of fibrous histiocytoma-like lesions in leprosy, which in this form can be termed fibrous histiocytoid leprosy. Furthermore, it suggests the need for special stains to rule out infectious cause in lesions believed to be atypical fibrous histiocytomas.

BT - Cornea C1 - http://www.ncbi.nlm.nih.gov/pubmed/8261786?dopt=Abstract DA - 1993 Nov DO - 10.1097/00003226-199311000-00012 IS - 6 J2 - Cornea LA - eng N2 -

We describe a 50-year-old man with a 10-year history of gradually enlarging limbal tumors and conjunctival injection. An excised limbal mass presented a diagnostic challenge histopathologically and was initially believed to be a fibrous histiocytoma. Special stains, however, revealed acid-fast organisms in the fibrous histiocytes, and the diagnosis was changed to corneal leproma. This case confirms the existence of fibrous histiocytoma-like lesions in leprosy, which in this form can be termed fibrous histiocytoid leprosy. Furthermore, it suggests the need for special stains to rule out infectious cause in lesions believed to be atypical fibrous histiocytomas.

PY - 1993 SP - 532 EP - 6 T2 - Cornea TI - Fibrous histiocytoid leprosy of the cornea. VL - 12 SN - 0277-3740 ER -