A case of cryptococcal blepharoconjunctivitis Masayoshi Hojo 1 , Toshiaki Abe 1 , Tetsuya Kano 1 , Makoto Tamai 1 1Dept of Ophthalmol,Tohoku Univ Sch of Med pp.1253-1255
Published Date 2003/7/15
DOI https://doi.org/10.11477/mf.1410101337
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Abstract. A 55-year-old female presented with pigmented lesions in the palpebral conjunctiva in her left eye. She had been treated by instillation of dexamethasone under the diagnosis of allergic conjunctivitis since 8 years before. She had also received repeated removal of conjunctival concretions. Besides formation of pseudomembrane,her left eye showed a pigmented lesion in the upper palpebral conjunctiva and 9 lesions in the lower. Biopsy of the pigmented lesion led to the histopathological diagnosis of cryptococcosis. She has been doing well after removal of other pigmented lesions and discontinuation of corticosteroid. Decreased local immunity due to corticosteroid appears to have induced cryptococcosis in the palpebral conjunctiva as an unusual occurrence in this patient.

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