A Giant Eyelid Molluscum Contagiosum Revealing an HIV Infection: A Case Report and Literature Review.
case report
eyelid
human immunodeficiency virus infection
molluscum contagiosum
poxvirus
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
accepted:
30
06
2023
medline:
1
8
2023
pubmed:
1
8
2023
entrez:
1
8
2023
Statut:
epublish
Résumé
Molluscum contagiosum (MC) is a common benign cutaneous viral infection. It can affect any part of the skin with a high propensity for facial skin, especially in human immunodeficiency virus (HIV) patients with low CD4 count. We report a case of a 16-year-old female patient who presented with a giant isolated right upper eyelid MC lesion that served as the first clinical indicator of her HIV infection and acquired immunodeficiency syndrome (AIDS). A final diagnosis of MC was made based on the history, clinical findings, and histopathological examination. Moreover, due to its vital location, large size, and atypical presentation, a surgical excision by simple unroofing and curettage was performed under local anesthesia to speed recovery, prevent corneal complications, and reduce transmission. Her follow-up visits showed satisfactory clinical and cosmetic outcomes. Patients presenting with giant atypical eyelid lesions must be thoroughly investigated for immunosuppressive states, especially HIV infection. MC can have atypical presentations in HIV patients. To our knowledge, this is one of a few cases in the literature reporting a giant isolated eyelid MC lesion leading to a diagnosis of HIV infection with AIDS.
Identifiants
pubmed: 37525809
doi: 10.7759/cureus.41187
pmc: PMC10387225
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e41187Informations de copyright
Copyright © 2023, Alghamdi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
PLoS One. 2012;7(9):e45919
pubmed: 23049892
J Epidemiol Glob Health. 2013 Dec;3(4):289-91
pubmed: 24206800
J Dermatol Case Rep. 2010 Dec 31;4(4):60-2
pubmed: 21886754
J Cutan Med Surg. 2014 Oct;18(5):299-306
pubmed: 25186990
Top HIV Med. 2010 Dec;18(5):169-72
pubmed: 21245518
Ophthalmology. 2016 Sep;123(9):1925
pubmed: 27549877
Br J Ophthalmol. 2003 Nov;87(11):1427-8
pubmed: 14609853
HIV AIDS (Auckl). 2021 Nov 20;13:993-997
pubmed: 34849035
PLoS One. 2014 Feb 18;9(2):e88734
pubmed: 24558417
J Cutan Pathol. 2008 Oct;35 Suppl 1:29-31
pubmed: 18544053
J Am Acad Dermatol. 1992 Oct;27(4):583-8
pubmed: 1357010
Am J Obstet Gynecol. 2003 Sep;189(3 Suppl):S12-6
pubmed: 14532898
Med Clin North Am. 1990 Nov;74(6):1487-505
pubmed: 2246949
Clin Exp Ophthalmol. 2009 Jul;37(5):525-7
pubmed: 19624352
J Infect Public Health. 2020 Jul;13(7):939-948
pubmed: 32359925
Indian J Dermatol. 2009;54(2):180-2
pubmed: 20101316
Fam Pract. 2014 Apr;31(2):130-6
pubmed: 24297468
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
Am J Ophthalmol. 1997 Aug;124(2):240-1
pubmed: 9262550
Dermatol Online J. 2013 Jan 15;19(1):10
pubmed: 23374952
Indian J Sex Transm Dis AIDS. 2015 Jan-Jun;36(1):95-8
pubmed: 26392667
J Infect Dis. 1988 Oct;158(4):897-8
pubmed: 3171235
Soc Sci Med. 2004 May;58(9):1751-6
pubmed: 14990375
Cutis. 2012 Jul;90(1):35-41
pubmed: 22908731
Klin Monbl Augenheilkd. 1998 Feb;212(2):123-4
pubmed: 9577814
AIDS Behav. 2006 Sep;10(5):473-82
pubmed: 16604295
Indian J Ophthalmol. 1997 Dec;45(4):234-6
pubmed: 9567020