Retinal vein occlusion in lymphomatoid papulosis.
OBJECTIVE
To describe an unusual patient who presented with hemi-retinal vein occlusion and lymphomatoid papulosis (LyP).


METHODS
Clinicopathological case study.


RESULTS
A 42 year old female patient presented with blurring of vision in her left eye and a nodular eruption of the skin involving arms, face and torso. She also complained of a non-itchy, blotchy rash on the arms, face and torso lasting for period of three months. Ocular examination showed a left superior hemi-retinal vein occlusion. The nodules resolved spontaneously over a period of two-three weeks leaving a faint scar. Hematological and systemic evaluation for auto-immune disorders, hypercoagulability, systemic malignancy and lymphoma were negative. A biopsy of the skin nodule was performed which showed infiltration of lymphoid blast cells which were CD30 positive. Based on the clinicopathological features a diagnosis of lymphomatoid papulosis (LyP) was made.


CONCLUSIONS
Clinical and pathological features of this patient may suggest the retinal vein occlusion may be secondary to LyP.
Ramaesh
K
K
Princess Alexandra Eye Pavilion, Edinburgh, UK.
Monaghan
H
H
Kemmett
D
D
Gairns
S
S
Dhillon
B
B
D000328:Adult; D015703:Antigens, CD / Q000378:metabolism; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007124:Immunoenzyme Techniques; D017731:Lymphomatoid Papulosis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000209:etiology*; D012878:Skin Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism
D015703:Antigens, CD