Conjunctival mycosis masquerading as melanoma.
OBJECTIVE
To report a patient with a melanotic lesion of the conjunctiva that mimicked melanoma but proved to be a fungal infection on biopsy.


METHODS
Interventional case report.


METHODS
A 75-year-old white man was examined for a 3-month history of a deeply pigmented lesion of the conjunctiva at the limbus of the right eye that closely resembled conjunctival melanoma. The lesion was completely excised.


RESULTS
Histologic examination revealed fungal elements without evidence of tumor.


CONCLUSIONS
Although rare, fungi should be included in the differential diagnosis of pigmented lesions of the conjunctiva.
Laquis
Stephen J
SJ
Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, USA.
Wilson
Matthew W
MW
Haik
Barrett G
BG
Fleming
James C
JC
Baber
Wilson
W
D000368:Aged; D002175:Candida / Q000302:isolation & purification; D002177:Candidiasis / Q000175:diagnosis* / Q000382:microbiology; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000382:microbiology; D003230:Conjunctival Neoplasms / Q000175:diagnosis; D003937:Diagnosis, Differential; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008297:Male; D008545:Melanoma / Q000175:diagnosis*