title: Coin-shaped epithelial lesions following an acute attack of erythema multiforme minor with confocal microscopy findings.
abstract: We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of three days duration. He was diagnosed to have EM minor and was on oral acyclovir. Slit-lamp examination revealed multiple coin-shaped epithelial lesions. Confocal microscopy showed a corresponding conglomerate of hyper-reflective epithelial lesions. The corneal lesions resolved over six weeks with oral steroids and acyclovir. An immunological mechanism is suspected.
authors.affiliation: Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center, Bangalore, India.
authors.forename: Kalpana
authors.initials: K
authors.lastname: Babu
authors.forename: Vinay R
authors.initials: VR
authors.lastname: Murthy
authors.forename: Veeresh P
authors.initials: VP
authors.lastname: Akki
authors.forename: Venkatesh C
authors.initials: VC
authors.lastname: Prabhakaran
authors.forename: K R
authors.initials: KR
authors.lastname: Murthy
mesh_terms: D000208:Acute Disease; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D003315:Cornea / Q000473:pathology*; D003316:Corneal Diseases / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D018613:Microscopy, Confocal / Q000379:methods*; D013262:Stevens-Johnson Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000998:Antiviral Agents; D005938:Glucocorticoids