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August 1990

Giant Molluscum Contagiosum Following Splenectomy

Author Affiliations

Morgantown, WVa

Arch Ophthalmol. 1990;108(8):1076. doi:10.1001/archopht.1990.01070100032018

The cutaneous lesions of molluscum contagiosum are typically small, multiple, umbilicated papules. We report herein a case of a periocular molluscum infection that appeared as a large, solitary, rapidly growing lesion of the upper eyelid.

Report of a Case.  —A 25-year-old white woman presented with a 1-month history of an elevated erythematous nodule on the right upper eyelid. She complained of mild periocular pain. The examination revealed a best corrected visual acuity of 20/20 OU. A 1 × 1-cm, firm, tender, elevated, nonumbilicated nodule was present in the right upper eyelid (Fig 1, top). The eyelid skin was erythematous and mildly edematous, but intact. There were no conjunctival follicles or keratitis. The remainder of the ophthalmic examination results were normal. The patient received oral erythromycin therapy.One week later, the patient returned with a 3 × 2-cm firm, tender, elevated lesion adjacent to the original nodule, which had a deep

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