결막 임파종으로 의심된 환자에서 확진된 엡스타인-바 바이러스 결막종물 1예

• 영문명: A Case of Conjunctival Mass with Infectious Mononucleosis by EBV
• 발행기관: 대한안과학회
• 저자명: 신경윤 장무환 경성은,Kyoung Yoon Shin, MD, Moo Hwan Chang, MD, PhD, Sung Eun Kyung, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number10, 1554~1557쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.10.15

영문 초록

Purpose: To report a case of conjunctival mass with infectious mononucleosis by Epstein-Barr virus (EBV) confirmed with Epstein-Barr encoding region (EBER) in situ hybridization. Case summary: A 8 year-old male without underlying disease was referred with counjunctival mass on the right eye starting 3 days ago. In ophthalmologic evaluation, there was injected, nontender, and “salmon patch” appearance conjunctival lesion on right superior bulbar conjunctiva. The patient was admitted to pediatrics with sore throat and fever. The tonsil were enlarged and white blood cell count was 14960/uL. EBV polymerase chain reaction (PCR) test and Viral capsid antigen Immunoglobulin M (VAC IgM) test were positive, the diagnose of infectious mononucleosis by EBV was made. After 5 days steroid eyedrop therapy, biopsy was performed because the lesion was not improved. There were lymphocyte infiltration, chronic inflammation and positive in EBER in situ hybridization. Conclusions: Elevated and pinkish lesion on conjunctiva, EBV lesion should be considered as differential diagnosis. J Korean Ophthalmol Soc 2014;55(10):1554-1557

키워드

Conjunctival mass, Infectious mononucleosis