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Pediatric Periocular Keratin Horns: A Case Series
Amun Sachdev1, Fariha Shafi, Purnima Mehta
1Department of Ophthalmology, University Hospital, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, West Midlands, United Kingdom.
Ophthalmic Plastic and Reconstructive Surgery
|December 17, 2015
Summary
This study reports two rare pediatric cases of periocular keratin horns, which are benign skin growths. Careful management is advised due to potential premalignant changes.
Area of Science:
- Ophthalmology
- Dermatology
- Pediatric Medicine
Background:
- Periocular keratin horns are rare, especially in pediatric populations.
- Limited data exists on pediatric periocular keratin horns, necessitating further investigation.
Observation:
- The study presents two pediatric cases: a 7-year-old male with a right lower eyelid keratin horn and a 16-year-old female with a caruncular keratin horn.
- Both lesions were surgically excised and histologically examined.
Findings:
- Histological analysis confirmed no malignancy in either pediatric case.
- Despite benign histology, the rarity in children complicates definitive conclusions.
Implications:
- The findings suggest careful clinical management of pediatric periocular keratin horns.
- There is a need for vigilance regarding potential premalignant or malignant changes at the lesion base, drawing parallels from adult cases.

