Open AccessCoin-shaped epithelial lesions following an acute attack of erythema multiforme minor with confocal microscopy findings
Author(s) -
Kalpana Babu,
Vinay R Murthy,
Veeresh P Akki,
Venkatesh C Prabhakaran,
KR Murthy
Publication year - 2010
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.58475
Subject(s) - medicine , confocal microscopy , erythema multiforme , confocal , pathology , erythema , dermatology , geometry , mathematics , biology , microbiology and biotechnology
We report an interesting ocular finding of bilateral multiple coin-shaped epithelial lesions along with the confocal microscopy findings in a patient following an acute attack of erythema multiforme (EM) minor. A 30-year-old male presented with a history of watering and irritation in both eyes of three days duration. He was diagnosed to have EM minor and was on oral acyclovir. Slit-lamp examination revealed multiple coin-shaped epithelial lesions. Confocal microscopy showed a corresponding conglomerate of hyper-reflective epithelial lesions. The corneal lesions resolved over six weeks with oral steroids and acyclovir. An immunological mechanism is suspected.