Juvenile Xanthogranuloma

Topic outline

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  Grand Rounds

  Patient presented to the BPEI emergency room with tearing and light sensitivity of the right eye for 1 month. Examination revealed grimace-to-light vision, soft to palpation intraocular pressure, and hyphema. Skin examination revealed yellowish raised skin lesions on the neck and trunk. Ophthalmic exam under anesthesia revealed a yellowish tan iris mass with hyphema and normal intraocular pressure. Skin biopsy was significant for histiocytes consistent with juvenile xanthogranuloma. The patient was treated for amblyopia and was monitored closely for signs of secondary glaucoma, the main causes of vision loss in juvenile xanthogranuloma.
  

  Presentation Date: 01/14/2021
  Issue Date: 04/01/2022
  

  • Presenter: Lisa M. Tom, MD URL
  • Faculty Discussant: Ta Chen Peter Chang, MD URL
  • Faculty Discussant: Sander R. Dubovy, MD URL
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