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["Teddy bear granuloma", a rare condition: a case report of a 3-year-old child]
1Service d'ophtalmologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
Insights
Conjunctival synthetic fiber granulomas, also known as Teddy bear granulomas, are rare growths caused by synthetic fibers. Surgical removal and analysis confirmed the diagnosis in a young boy, providing a cure.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Conjunctival synthetic fiber granulomas are uncommon inflammatory reactions to synthetic fibers.
- These granulomas are often referred to as 'Teddy bear granulomas'.
Observation:
- A case report details a 3-year-old boy with an incidental conjunctival growth in his right eye.
- Examination revealed a 10-mm inferior fornix growth surrounding a greyish foreign body.
Findings:
- Surgical excision and histopathology identified a granulomatous inflammatory response with foreign body giant cells.
- The presence of birefringent material strongly suggested synthetic fabric fibers, confirming the diagnosis of Teddy bear granuloma.
Implications:
- Synthetic fiber granulomas typically present as unilateral growths in the inferior conjunctival fornix in children.
- Diagnosis is established through surgical excision and histopathological examination, which also serves as the curative treatment.
Abstract:
Conjunctival synthetic fiber granulomas, or "Teddy bear granulomas", are rare granulomatous responses to synthetic fabric fibers. We report the case of a 3-year-old boy with no prior infectious or traumatic history, brought in by his parents for an incidentally discovered conjunctival growth in his right eye. Slit lamp examination revealed a 10-mm growth in the inferior fornix surrounding a small greyish foreign body. Surgical excision and histopathology revealed granulomatous inflammatory cell response with foreign body giant cells surrounding exogenous material. This foreign material was birefringent in polarized light, very suggestive of synthetic fabric fibers, which permitted the diagnosis of Teddy bear granuloma. Synthetic fiber granulomas present in children as unilateral, more or less inflammatory growths in the inferior conjunctival fornix. Surgical excision with histopathology makes the diagnosis and effects the cure.
