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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 9  |  Page : 2028-2030

Ocular erythema nodosum leprosum: An immunohistochemical study


1 Uveitis Service, Aravind Eye Hospital and PG Institute of Ophthalmology, Madurai, Tamil Nadu, India
2 Orlando VA Medical Center, Orlando, Florida, USA
3 USC Department of Ophthalmology, Co.Director, USC Roski Eye Institute, Keck School of Medicine of USC, USA

Correspondence Address:
Dr. S R Rathinam
Department of Uveitis Service, Aravind Eye Hospital and PG Institute of Ophthalmology, Madurai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_549_20

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Episcleritis, scleritis, and anterior uveitis are common clinical manifestations of ocular leprosy. Erythema nodosum leprosum (ENL) is an acute, exaggerated systemic immunological reaction that complicates the course of this chronic indolent disease. We present an ocular immunohistochemical study of severe form of ENL involving even the ciliary body and choroid resulting in the perforation of the globe on the initiation of anti leprosy therapy. We used CD-3, CD-68, S-100, and CD-20 for immunohistochemistry. It revealed plenty of CD-3-positive T-cells and CD-68-positive macrophages and a few S-100 and CD-20-positive cells. The inflammatory exudates stained positive for IgG and IgM. The diagnosis was ocular ENL.


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