Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy
Purpose. To discuss an unusual presentation of ocular toxocariasis. Methods. Case report. Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers for Toxocara canis favored the diagnosi...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/368907 |
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| author | Ahmad M. Mansour Bachir Abiad Fouad I. Boulos Ramzi Alameddine Fadi C. Maalouf Alaa Bu Ghannam Rola N. Hamam |
| author_facet | Ahmad M. Mansour Bachir Abiad Fouad I. Boulos Ramzi Alameddine Fadi C. Maalouf Alaa Bu Ghannam Rola N. Hamam |
| author_sort | Ahmad M. Mansour |
| collection | DOAJ |
| description | Purpose. To discuss an unusual presentation of ocular toxocariasis. Methods. Case report. Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers for Toxocara canis favored the diagnosis of ocular toxocariasis. Over 3 months, an anterior scleral mass had a rapid growth raising the possibility of medulloepithelioma, which rarely can mimic uveitic syndromes. Surgical plan changed from local excision to enucleation. Histopathology demonstrated a large homogeneous mass of chronic inflammatory cells with inflammation of the overlying thinned out sclera, medial rectus insertion, and limbal cornea. The triad of peripheral granuloma, eosinophilia, and positive blood serology established the diagnosis of ocular toxocariasis. Conclusions. Ocular toxocariasis can mimic ocular malignancy such as medulloepithelioma in adults and rarely presents as an anterior scleral mass. |
| format | Article |
| id | doaj-art-1f7bad5d10f1484aafc0d8889a15abeb |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-1f7bad5d10f1484aafc0d8889a15abeb2025-08-20T03:54:42ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/368907368907Adult Ocular Toxocariasis Mimicking Ciliary Body MalignancyAhmad M. Mansour0Bachir Abiad1Fouad I. Boulos2Ramzi Alameddine3Fadi C. Maalouf4Alaa Bu Ghannam5Rola N. Hamam6Department of Ophthalmology, Retina Service, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonDepartment of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 110 72020, LebanonDepartment of Ophthalmology, Retina Service, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonDepartment of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonDepartment of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonUveitis Division, Department of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, LebanonPurpose. To discuss an unusual presentation of ocular toxocariasis. Methods. Case report. Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers for Toxocara canis favored the diagnosis of ocular toxocariasis. Over 3 months, an anterior scleral mass had a rapid growth raising the possibility of medulloepithelioma, which rarely can mimic uveitic syndromes. Surgical plan changed from local excision to enucleation. Histopathology demonstrated a large homogeneous mass of chronic inflammatory cells with inflammation of the overlying thinned out sclera, medial rectus insertion, and limbal cornea. The triad of peripheral granuloma, eosinophilia, and positive blood serology established the diagnosis of ocular toxocariasis. Conclusions. Ocular toxocariasis can mimic ocular malignancy such as medulloepithelioma in adults and rarely presents as an anterior scleral mass.http://dx.doi.org/10.1155/2014/368907 |
| spellingShingle | Ahmad M. Mansour Bachir Abiad Fouad I. Boulos Ramzi Alameddine Fadi C. Maalouf Alaa Bu Ghannam Rola N. Hamam Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy Case Reports in Medicine |
| title | Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy |
| title_full | Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy |
| title_fullStr | Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy |
| title_full_unstemmed | Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy |
| title_short | Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy |
| title_sort | adult ocular toxocariasis mimicking ciliary body malignancy |
| url | http://dx.doi.org/10.1155/2014/368907 |
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