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ARTICLES
Year : 1978  |  Volume : 26  |  Issue : 4  |  Page : 41-42

Primary scleroma of the eye lid (A case report)


Deptt. of Pathology, Karnataka Medical College, Hubli, India

Correspondence Address:
J P Goravalingappa
Deptt. of Pathology, Karnataka Medical College, Hubli
India
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Source of Support: None, Conflict of Interest: None


PMID: 437864

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How to cite this article:
Belagavi C S, Goravalingappa J P. Primary scleroma of the eye lid (A case report). Indian J Ophthalmol 1978;26:41-2

How to cite this URL:
Belagavi C S, Goravalingappa J P. Primary scleroma of the eye lid (A case report). Indian J Ophthalmol [serial online] 1978 [cited 2020 Sep 20];26:41-2. Available from: http://www.ijo.in/text.asp?1978/26/4/41/31502

Scleroma is a chronic specific granulomatous inflammatory condition that has an affinity to the muccosa of the upper respiratory tracts[5]. Scleroma is described as a disease confined to the nose, hence the name "Rhino scleroma." Shaw and Martin[7] stated that the disease can invade any part of the respiratory tract eg., palate, fauces, pharynx, larynx, trachea. Other sites have been affected by the disease, either primary or concomitant with scleroma of the nose. These sites may be paranasal sinuses[4], lacrimal sac and nasolacrimal duct[1], upper alveolus[6], skin of the back[6], the orbit[2] and middle ear cavity[3]. No case had been reported of the scleroma affecting the eye lid. We report the first case of primary scleroma of the eye lid.


  Case Report Top


A 75 years old man was examined in the out patient department of Karnatak Medical College Hospital, Hubli on 6.4.1978 for the swelling in the left upper eye lid. Patient complained of a painless swelling of six months duration which was gradually increasing in size. On examination there was a swelling over the margin of the left upper eye lid on the lateral aspect, measuring 1 cm in diameter. The lesion was excised and sent for histopathological examination.

Microscopic examination showed fibrocollagenous tissue infiltrated with Mikulicz cells, lymphocytes, plasma cells and Russel bodies [Figure - 1]. Histological features were consistant with scleroma grade II.

Further examination of the nose, pharynx and larynx was made, but no scleromatous affection was found. Hence the lesion was diagnosed as primary scleroma of the eye lid.


  Discussion Top


Scleroma is a chronic granulomatous inflam­matory condition affecting upper respiratory tract. Other sites are infrequently encountered. Eye and its adnexa are the unusual sites for scleroma. Only one case of dacryoscleroma[1] is recorded. To the best of our knowledge, no case of primary scleroma of the eye lid is reported so far. The present case of primary scleroma of the eye lid is reported because of its rarity.

In the last 18 years 400 cases of scleroma of the upper respiratory tract were reported from our department but no case of scleroma of unusual site was encountered. Affection of the any unusual sites by the disease may be primary or concomitant with scleroma of the nose. The fact that the present case of scleroma of the eye lid was without concomitant nasal or pharyn­geal affection, is in favour of direct bacterial or viral affection of the eye lid.


  Summary Top


Scleroma is a chronic granulomatous inflam­matory disease of upper respiratory tract. Other sites are rarely affected. First case of primary scleroma of the eye lid is reported in a managed 75 years[8].

 
  References Top

1.
Badrawi, R., 1960, Ann. Otol. 71, 247  Back to cited text no. 1
    
2.
Badrawi, R., 1965, J. Laryng, 80, 160.  Back to cited text no. 2
    
3.
Barbary, A., Fouad, H., and Fatty Hi, A,, 1974 Ann. Otol., 83, 107.  Back to cited text no. 3
    
4.
Mossullum, I., & Attia, D.M., 1956 J. Egypt Med. Ass. 39, 512.  Back to cited text no. 4
    
5.
Olson, G.W., 1950, Ann. Otol., 59,186.   Back to cited text no. 5
    
6.
Roland, P.E., 1961, J. Laryng, 75, 1040.  Back to cited text no. 6
    
7.
Shaw, H.J. and Martin, H., 1961, J. Laryng, 75, 1011.  Back to cited text no. 7
    
8.
Somani, I.K., Mehta, B.C and Prasasol, M., 1964, J. Laryng, 78, 546.  Back to cited text no. 8
    


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