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| PHOTO ESSAY |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 182-183 |
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Post-traumatic pseudokeratic horn of palpebral conjunctiva
Shreya Shah, Mehul Shah, Vedant Rajoria
Drashti Netralaya, Dahod, Gujarat, India
| Date of Submission | 28-Jul-2022 |
| Date of Acceptance | 14-Oct-2022 |
| Date of Web Publication | 20-Jan-2023 |
Correspondence Address:
Shreya Shah
Drashti Netralaya, Nr. GIDC, Chakalia Road, Dahod - 389 151, Gujarat
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1693_22
Keywords: Keratic horn, palpebral conjunctiva
How to cite this article:
Shah S, Shah M, Rajoria V. Post-traumatic pseudokeratic horn of palpebral conjunctiva. Indian J Ophthalmol Case Rep 2023;3:182-3 |
We would like to report a case with the lesion mimicking horn, but found it to be a nonmalignant, inflammatory lesion.
A female patient aged 10 years presented with a mass over lower lid OD that she had been having for 6 months, which was progressive and painless and developed following trauma by an unknown object. Vision and ocular findings of the anterior and posterior segments were found to be normal [Figure 1].
There was no positive history of causative factors. On examination of lesion, it measured 15 mm × 8 mm × 5 mm and was pigmented. This lesion was excised and the specimen was submitted to pathology.
The specimen consisted of a mass measuring 15 mm × 8 mm × 5 mm and was cut into two parts. The cut section showed cystic changes.
Microscopically, the serial section showed an inflammatory mass with cystic changes. There was dense suppurative inflammation with neutrophils and neutrophils debris with scattered blood vessels and fibrocytic. Multiple clumps of bacteria were seen [Figure 2].
Patient was followed up for 2 years and recurrence was not seen [Figure 3]. | Figure 3: Histopathological picture showing an inflammatory mass with cystic changes. There was dense suppurative inflammation with neutrophils and neutrophils debris with scattered blood vessels and fibrocytic. Multiple clumps of bacteria were seen.
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| Discussion | |  |
Cutaneous horn is a relatively rare tumor, most often arising on the sun-exposed skin in elderly men.[1],[2] The important issue is not the horn itself, which is dead keratin, but rather the underlying condition, which may be benign, premalignant, or malignant.[3] Keratic horn of conjunctiva has also been reported, but is a rare condition.[4],[5] Most of these lesions are premalignant or malignant. It also has been reported from the bulbar conjunctiva.
Posttraumatic keratic horn may be a condition which may mimic true keratic horn.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | | |
| 1. | Oludiran OO, Ekanem VJ. Cutaneous horns in an African population. J Cutan Aesthet Surg 2011;4:197-200.  [ PUBMED] [Full text] |
| 2. | Bondeson J. Everard home, John hunter, and cutaneous horns: A historical review. Am J Dermatopathol 2001;23:362-9. |
| 3. | Nthumba PM. Giant cutaneous horn in an African woman: A case report. J Med Case Rep 2007;1:170. |
| 4. | Jacobs S, Vangipuram G, Latimer C, Chambers C. Keratin horn of the palpebral conjunctiva. Ophthalmic Plastic Reconstr Sur 2018;34:e139. |
| 5. | Kifuku K, Yoshikawa H, Sonoda KH, Kawano Y, Miyazaki K, Ishibashi T, et al. Conjunctival Keratoacanthoma in an Asian. Arch Ophthalmol 2003;121:118-9. |
[Figure 1], [Figure 2], [Figure 3]
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