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Coin-shaped epithelial lesions following an acute attack of erythema multiforme minor with confocal microscopy findings
oleh: Babu Kalpana, Murthy Vinay, Akki Veeresh, Prabhakaran Venkatesh, Murthy K
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2010-01-01 |
Deskripsi
We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of three days duration. He was diagnosed to have EM minor and was on oral acyclovir. Slit-lamp examination revealed multiple coin-shaped epithelial lesions. Confocal microscopy showed a corresponding conglomerate of hyper-reflective epithelial lesions. The corneal lesions resolved over six weeks with oral steroids and acyclovir. An immunological mechanism is suspected.