Molluscum contagiosum of the eyelids in patients with acquired immune deficiency syndrome.
BACKGROUND
Infection with molluscum contagiosum has been reported in patients with acquired immune deficiency syndrome (AIDS). Involvement of the eyelids by molluscum in patients with AIDS has rarely been mentioned.


METHODS
Two patients with AIDS presented with eyelid molluscum contagiosum. Detailed examination and follow-up was performed.


RESULTS
One patient had noted ocular irritation with epiphora for several weeks and showed a typical viral keratoconjunctivitis in both eyes. The other patient progressed to confluent masses involving the entire lower eyelid on one side. Removal of the lesions by surgery and cryotherapy was followed by recurrences in both patients within 6 to 7 weeks, the incubation period for this viral infection.


CONCLUSIONS
Molluscum contagiosum can form confluent lesions on the eyelids in patients with AIDS, which may cause a keratoconjunctivitis. Local removal of molluscum eyelid nodules appears to be of limited long-term value in patients with T-cell immunodeficiency.
Robinson
M R
MR
Department of Ophthalmology, State University of New York Health Science Center, Syracuse.
Udell
I J
IJ
Garber
P F
PF
Perry
H D
HD
Streeten
B W
BW
D017088:AIDS-Related Opportunistic Infections; D000328:Adult; D003452:Cryosurgery; D015828:Eye Infections, Viral; D005141:Eyelid Diseases / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007637:Keratoconjunctivitis / Q000382:microbiology; D008297:Male; D008976:Molluscum Contagiosum; D012008:Recurrence