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Year : 2019  |  Volume : 1  |  Issue : 1  |  Page : 12

Giant molluscum contagiosum mimicking a lid abscess: “Appearances can be deceptive”!!

Department of Ophthalmology, St. John's Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Anupama Janardhanan
G-13, Tucker AWHO Enclave, Gondhale Nagar, Hadapsar (PO), Pune - 411 028, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/PAJO.PAJO_20_19

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Giant molluscum contagiosum (MC) is a rare nodular presentation of molluscum lesions. A diameter measuring more than half to 1 cm qualifies to be called as a giant MC. It has a strong predilection toward immunocompromised patients. A 45-year-old retropositive male presented with a large left upper eyelid swelling. After clinical evaluation, it was presumed to be a chronic lid abscess. On excision biopsy surprisingly, no purulent matter was obtained. A nodular mass was discovered which was confirmed to be giant MC on histopathology. No recurrence was found on follow-up. In immunosuppressed patients, MC has a chronic course and can rarely become large as a giant MC. CD4 lymphocytopenia and a phenomenon known as immune reconstitution inflammatory syndrome probably contribute to its pathogenesis. Giant MC must be kept in mind while evaluating an immunosuppressed patient coming with large lid swellings.

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