RESUMO
A 4-year-old boy had been noted from birth to have bilateral masses obscuring the entire outer portion of the eyes. Systemic findings included mild growth retardation, multiple cortical lesions of the distal metaphyseal ends of the lower extremities, and diffuse skin pigmentation of the right side of the body. The epibulbar lesions were excised; on the right side, there was a thin cornea that necessitated corneal transplantation. The diagnosis of composite epibulbar choristomas associated with linear epidermal nevus was established by pathologic examination. This case report as well as a literature review establish the association of epibulbar choristomas with cutaneous linear nevi of the epidermal and sebaceous types.
Assuntos
Coristoma/complicações , Neoplasias da Túnica Conjuntiva/complicações , Doenças da Córnea/complicações , Neoplasias Oculares/complicações , Nevo Pigmentado/complicações , Neoplasias Cutâneas/complicações , Biópsia , Pré-Escolar , Coristoma/patologia , Coristoma/cirurgia , Neoplasias da Túnica Conjuntiva/patologia , Neoplasias da Túnica Conjuntiva/cirurgia , Córnea/patologia , Doenças da Córnea/patologia , Doenças da Córnea/cirurgia , Transplante de Córnea , Neoplasias Oculares/patologia , Neoplasias Oculares/cirurgia , Humanos , Masculino , Nevo Pigmentado/patologia , Neoplasias Cutâneas/patologiaRESUMO
The authors describe the association of epibulbar choristomas with linear cutaneous nevi of the epidermal and sebaceous variety in 24 cases reported in the literature. The choristomas are of the bilateral, extensive, multiple and complex type. The associated ocular and systemic findings include lid and uveal coloboma, lid choristoma, alopecia, convulsions and growth retardation.
