A Giant Eyelid Molluscum Contagiosum Revealing an HIV Infection: A Case Report and Literature Review.
| Autor: | Alghamdi A; Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, SAU., Alghamdi YS; Department of Ophthalmology, East Jeddah Hospital, Jeddah, SAU., Hanafi H; Department of Ophthalmology, East Jeddah General Hospital, Jeddah, SAU., Karami MM; Department of Clinical Physiology, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU., Khayyat W; Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, SAU., Hersi RM; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU., Naaman NK; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jun 30; Vol. 15 (6), pp. e41187. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.41187 |
| Abstrakt: | Molluscum contagiosum (MC) is a common benign cutaneous viral infection. It can affect any part of the skin with a high propensity for facial skin, especially in human immunodeficiency virus (HIV) patients with low CD4 count. We report a case of a 16-year-old female patient who presented with a giant isolated right upper eyelid MC lesion that served as the first clinical indicator of her HIV infection and acquired immunodeficiency syndrome (AIDS). A final diagnosis of MC was made based on the history, clinical findings, and histopathological examination. Moreover, due to its vital location, large size, and atypical presentation, a surgical excision by simple unroofing and curettage was performed under local anesthesia to speed recovery, prevent corneal complications, and reduce transmission. Her follow-up visits showed satisfactory clinical and cosmetic outcomes. Patients presenting with giant atypical eyelid lesions must be thoroughly investigated for immunosuppressive states, especially HIV infection. MC can have atypical presentations in HIV patients. To our knowledge, this is one of a few cases in the literature reporting a giant isolated eyelid MC lesion leading to a diagnosis of HIV infection with AIDS. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alghamdi et al.) |
| Databáze: | MEDLINE |
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