[Conjunctival pseudolymphoma in infectious mononucleosis].
BACKGROUND
The most frequent manifestation of an infection with Epstein-Barr virus is the mostly unilateral transient follicular conjunctivitis.


METHODS
A 19-year-old man was evaluated for a unilateral salmon colored subconjunctival mass that had developed over one week. Additionally, the patient had painful cervical lymph nodes and a sore throat. Blood tests demonstrated a lymphocytosis and a high titer for Epstein-Barr-Virus-IgG and -IgM which was consistent with infectious mononucleosis. A biopsy form the conjunctival mass showed a mixed cellular infiltrate including lymphocytes, plasma cells, histocytes, and cells with a prominent eosinophilic nucleolus. The lesion displayed a spontaneous regression over the following 8 weeks.


CONCLUSIONS
Infectious mononucleosis should be considered with a conjunctival tumor which may mimic a lymphoma.
Spraul
C W
CW
Universitäts-Augenklinik Ulm. christoph.spraul@medizin.uni-ulm.de
Mattfeldt
T
T
Lang
G K
GK
D000328:Adult; D001706:Biopsy; D003228:Conjunctiva / Q000473:pathology; D003229:Conjunctival Diseases / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D007244:Infectious Mononucleosis / Q000473:pathology*; D008297:Male; D019310:Pseudolymphoma / Q000473:pathology*
Konjunktivales Pseudolymphom bei infektiöser Mononukleose.