PDF(Pubmed)
Abstract：
Molluscum contagiosum (MC) is a common benign cutaneous viral infection. It can affect any part of the skin with a high propensity for facial skin, especially in human immunodeficiency virus (HIV) patients with low CD4 count. We report a case of a 16-year-old female patient who presented with a giant isolated right upper eyelid MC lesion that served as the first clinical indicator of her HIV infection and acquired immunodeficiency syndrome (AIDS). A final diagnosis of MC was made based on the history, clinical findings, and histopathological examination. Moreover, due to its vital location, large size, and atypical presentation, a surgical excision by simple unroofing and curettage was performed under local anesthesia to speed recovery, prevent corneal complications, and reduce transmission. Her follow-up visits showed satisfactory clinical and cosmetic outcomes. Patients presenting with giant atypical eyelid lesions must be thoroughly investigated for immunosuppressive states, especially HIV infection. MC can have atypical presentations in HIV patients. To our knowledge, this is one of a few cases in the literature reporting a giant isolated eyelid MC lesion leading to a diagnosis of HIV infection with AIDS.
摘要：
传染性软疣（MC）是一种常见的良性皮肤病毒感染。它可以影响皮肤的任何部分，对面部皮肤有很高的倾向，特别是在人类免疫缺陷病毒（HIV）患者的低CD4计数。我们报告了一例16岁的女性患者，该患者患有巨大的孤立的右上眼睑MC病变，这是她的HIV感染和获得性免疫缺陷综合症（AIDS）的第一个临床指标。根据病史对MC进行最终诊断，临床发现，和组织病理学检查。此外，由于它的重要位置，大尺寸,和非典型的介绍，在局部麻醉下通过简单的去顶和刮宫进行手术切除以加速恢复，预防角膜并发症，减少传输。她的随访显示出令人满意的临床和美容结果。表现为巨大的非典型眼睑病变的患者必须彻底调查免疫抑制状态，尤其是HIV感染。MC在HIV患者中可以有非典型表现。据我们所知,这是文献中报道巨大的孤立性眼睑MC病变导致诊断为HIV感染和AIDS的少数病例之一。
