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Glaucoma in juvenile xanthogranuloma
Zarmeena Vendal1, David Walton, Teresa Chen
1Glaucoma Service, Massachusetts Eye & Ear Infirmary, Boston, MA 02114, USA. z.vendal@yahoo.com
Insights
Juvenile xanthogranuloma (JXG) can cause serious eye complications like glaucoma in infants. Early consideration of JXG is crucial for diagnosing unilateral glaucoma in babies.
Area of Science:
- Ophthalmology
- Pediatrics
- Dermatology
Background:
- Juvenile xanthogranuloma (JXG) is a rare histiocytic disorder primarily affecting infants.
- Ocular involvement occurs in about 10% of JXG cases, potentially leading to severe visual impairment.
Observation:
- Presents a case of a two-month-old infant with JXG-related secondary glaucoma.
- Highlights the typical clinical presentation and therapeutic challenges associated with this condition.
Findings:
- JXG-related glaucoma can cause significant and blinding eye disease.
- Early diagnosis and management are critical for preserving vision.
Implications:
- JXG should be included in the differential diagnosis for infantile unilateral glaucoma.
- This case underscores the importance of recognizing cutaneous signs for early detection of ocular complications.
Abstract:
Juvenile xanthogranuloma (JXG) is a benign histiocytic skin disorder mainly encountered during infancy. Approximately 10% of cases exhibit ocular manifestations leading to serious complications. Specifically, secondary glaucoma can result in severe and blinding eye disease. We present a case of a two-month-old female with JXG related glaucoma in order to demonstrate the classic presentation and the problems commonly encountered in treating this disease. The natural history, pathogenesis, and treatment of the condition are then discussed and the pertinent literature reviewed. JXG should be considered in any case of unilateral glaucoma that presents in infancy.
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