Juvenile Xanthogranuloma of the Eyelid in Two Children

Abstract

Juvenile Xanthogranuloma is a benign dermatosis in children and teenagers, characterized by one or several small yellow or brown nodules which appear in the first years of life, having spontaneous involution during a year. We report clinical histories, ophthalmic examination and histopathology results of 2 cases with solitary Juvenile Xanthogranuloma on upper right eyelid. A 4 year-old boywas evaluated for a lesion on the right upper eyelid. The patient gave history of this swelling for last 8 months, forwhich he was being treated by a local ophthalmologist thinking it to be chalazion, for which incision and curettage has been done in the last month. The lesion was surgically removed in its entirety. Biopsy of his eyelid mass confirmed the diagnosis of juvenile xanthogranuloma. An 8 year-old girl presented with upper right eyelid margin nodule. Excisional biopsy of the nodule performed and confirmed it was a juvenile xanthogranuloma. All two cases yielded a good prognosis and at the 5-years follow-up, here was no recurrence of the lesion. Complete resection of the mass is essential to confirming the diagnosis and avoid recurrence.