Indian Journal of Ophthalmology

CASE REPORT
Year
: 2020  |  Volume : 68  |  Issue : 9  |  Page : 2033--2035

Polymerase chain reaction-proven tuberculous anterior segment mass mimicking juvenile xanthogranuloma in a child


Meenakshi Mahesh1, S Sudharshan1, Vikas Khetan1, MK Janani2, Subramanian Krishnakumar3 
1 Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Sankara Nethralaya Referral Laboratory, Chennai, Tamil Nadu, India
3 Vision Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. S Sudharshan
18, College Road, Sankara Nethralaya, Chennai - 600 006, Tamil Nadu
India

Mass lesions arising from the anterior segment in children involving the iris and ciliary body can be of myogenic, neurogenic, or hematogenic/vascular origin. These include nevi, melanomas, adenoma, adenocarcinoma, cysts, metastatic tumours among others. Multiple iris mass lesions due to tuberculosis in children are rare. We present an uncommon atypical presentation of multiple anterior segment mass lesions referred to us as neoplasia. Although excision biopsy can be diagnostic, it was deferred and anterior chamber tap was done. Aqueous cytology was suspicious of juvenile xanthogranuloma (JXG) but polymerase chain reaction (PCR) confirmed tuberculous etiology. Treatment with antituberculous therapy (ATT) and steroids lead to complete resolution of the lesions.


How to cite this article:
Mahesh M, Sudharshan S, Khetan V, Janani M K, Krishnakumar S. Polymerase chain reaction-proven tuberculous anterior segment mass mimicking juvenile xanthogranuloma in a child.Indian J Ophthalmol 2020;68:2033-2035


How to cite this URL:
Mahesh M, Sudharshan S, Khetan V, Janani M K, Krishnakumar S. Polymerase chain reaction-proven tuberculous anterior segment mass mimicking juvenile xanthogranuloma in a child. Indian J Ophthalmol [serial online] 2020 [cited 2024 Mar 29 ];68:2033-2035
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2020;volume=68;issue=9;spage=2033;epage=2035;aulast=Mahesh;type=0