Juvenile xanthogranuloma of the corneoscleral limbus.
OBJECTIVE
To report an 11-year-old Chinese girl with juvenile xanthogranuloma of the limbus, occurring in isolation without dermatologic involvement, and to discuss the clinical and histologic features, pathogenesis, and treatment of juvenile xanthogranuloma.


METHODS
Case report and review of medical literature.


RESULTS
A total excision and biopsy of the limbal lesion with lamellar graft was performed. Histologic examination showed a xanthogranuloma. At 12-month follow-up, there was no recurrence of tumor.


CONCLUSIONS
The diagnosis of juvenile xanthogranuloma may be straightforward in cases that have concomitant cutaneous manifestations. However, in isolated ocular forms, histopathological examination is necessary. Unlike the more common iris lesions that are preferably treated nonsurgically, limbal lesions require surgical excision.
Lim-I-Linn
Zena
Z
Cornea Service, Singapore National Eye Centre, Singapore 168751.
Li
Lim
L
D002648:Child; D003316:Corneal Diseases / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D016850:Limbus Corneae / Q000473:pathology*; D015422:Scleral Diseases / Q000473:pathology* / Q000601:surgery; D014972:Xanthogranuloma, Juvenile / Q000473:pathology* / Q000601:surgery