Abstract
Juvenile xanthogranuloma is a non-Langerhans cell histiocytosis affecting young children. Although primarily a cutaneous disorder, it can affect the eye and its ocular manifestations are diverse. Involvement of the iris, choroid, conjunctiva, eyelid, and orbit have been described. Although typically a benign, self-limited disorder of the skin, ocular involvement can lead to vision-threatening complications, including hyphema, secondary glaucoma, and amblyopia. The clinician must be aware of this uncommon masquerade syndrome as prompt diagnosis and treatment are critical to prevent vision loss.
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Algros MP, Laithier V, Montard M, et al. Juvenile xanthogranuloma of the iris as the first manifestation of a neurofibromatosis. J Pediatr Ophthlamol Strabismus. 2003;40:166–67.
Ashmore ED, Wilson MW, Morris WR, et al. Corneal Juvenile Xanthogranuloma in a 4-month old child. Arch Ophthalmal. 2003;121(1):117.
Berrocal AM, Davis JL. Choroioretinal involvement and vitreous hemorrhage in a patient with juvenile xanthogranuloma. J Pediatr Ophthalmol Strabismus. 2005;42(4):241–42.
Cambiaghi S, Restano L, Caputo R. Juvenile xanthogranuloma associated with neurofibromatosis 1: 14 patients without evidence of hematologic malignancies. Pediatr Dermal. 2004;21:97–101.
Chaudhry IA, Al-Jishi Z, Shamsi FA, et al. Juvenile xanthogranuloma of the corneoscleral limbus: case report and review of the literature. Surv Ophthalmol. 2004;49:608–14.
Debarge LR, Chan CC, Greenberg SC, et al. Chorioretinal, iris, and ciliary body infiltration by juvenile xanthogranuloma masquerading as uveitis. Surv Ophthalmol. 1994;39:65–71.
Dehner LP. Juvenile xanthogranulomas in the first two decades of life: a clinicopathologic study of 174 cases with cutaneous and extracutaneous manifestations. Am J Surg Pathol. 2003;27(5):579–93.
Ferrari F, Masurel A, Olivier-Faivre L, et al. Juvenile xanthogranuloma and nevus anemicus in the diagnosis of neurofibromatosis type 1. JAMA Dermatol. 2014;150(1):42–6.
Smith FO, Loh ML. Myelodysplastic and myeloproliferative neoplasms in children. Hematology: basic principles and practice. Philadelphia: Elsevier; 2013. p. 926–34.
Gohari AR, Reith J, Scarborough M, et al. Multifocal juvenile xanthogranuloma presenting with a hand mass and bilateral vitreous hemorrhage in a neonate. Retin Cases Brief Rep. 2010;4(4):346–51.
Gutmann DH, Gurney JG, Shannon KM. Juvenile xanthogranuloma, neurofibromatosis 1, and juvenile chronic myeloid leukemia. Arch Dermatol. 1996;132:1390.
Hayashi N, Komatsu T, Komatsu T, et al. Juvenile xanthogranuloma presenting with unilateral prominent nodule of the eyelid: report of a case and clinicopathological findings. Jpn J Ophthalmol. 2004;48:435–39.
Hernandez-Martin A, Baselga E, Drolet BA, et al. Juvenile xanthogranuloma. J Am Acad Dermatol. 1997;36:355–67.
Johnson TE, Alabiad C, Wei L, et al. Extensive juvenile xanthogranuloma involving the orbit, sinuses, brain, and subtemporal fossa in a newborn. Ophthal Plast Reconstr Surg. 2010;26:133–34.
Karcioglu ZA, Mullaney PB. Diagnosis and management of iris juvenile xanthogranuloma. J Pediatr Ophthalmol Strabismus. 1997;34:44–51.
Kuruvilla R, Escaravage GK, Finn AJ, et al. Infiltrative subcutaneous juvenile xanthogranuloma of the eyelid in a neonate. Ophthal Plast Reconstr Surg. 2009;25(4):330–32.
Longmuir S, Dumitrescu A, Kwon Y, et al. Juvenile xanthogranulomatosis with bilateral and multifocal ocular lesions of the iris, cornealscleral limbus, and choroid. J AAPOS. 2011;15(6):598–600.
Monaco MC, Bozkurt B, Orhan D, et al. Juvenile xanthogranuloma of the corneal limbus: report of two cases and review of the literature. Cornea. 2008;27:739–42.
Raygada M, Arthur DC, Wayne AS, et al. Juvenile xanthogranuloma in a child with previously unsuspected neurofibromatosis type 1 and juvenile myelomonocytic leukemia. Pediatr Blood Cancer. 2010;54:173–5.
Royer P, Blondet C, Guihard J. Xantholeucemie du nourisson et neurofibromatose de Recklinghausen. Ann Pediatr. 1958;24:1504–13.
Samara WA, Khoo CTL, Say EAT, et al. Juvenile xanthogranuloma involving the eye and ocular adnexa: tumor control, visual outcomes, and globe salvage in 30 patients. Ophthalmology. 2015;122:2130–8.
Schwartz TL, Carter KD, Judisch GF, et al. Congenital macronodular juvenile xanthogranuloma of the eyelid. Ophthalmology. 1991;98:1230–233.
Shields CL, Shields JA, Buchanon HW. Solitary orbital involvement with juvenile xanthogranuloma. Arch Ophthlamol. 1990;108:1587–9.
Shields CL, Thaler AS, Lally SE, et al. Massive macronodular juvenile xanthogranuloma of the eyelid in a newborn. J AAPOS. 2014;18(2):195–97.
Treacy KW, Letson RD, Summers CG. Subconjunctival steroid in the management of uveal juvenile xanthogranuloma: a case report. J Pediatr Ophthalmol Strabismus. 1990;27:126–28.
Wertz FD, Zimmerman LE, McKeown CA, et al. Juvenile xanthogranuloma of the optic nerve, disc, retina, and choroid. Ophthalmology. 1982;89:1331–5.
Zamir E, Wang RC, Krishnakumar S, et al. Juvenile xanthogranuloma masquerading as pediatric chronic uveitis: a clinicopathologic study. Surv Ophthalmol. 2001;46:164–71.
Zimmerman LE. Ocular lesions of juvenile xanthogranuloma. Trans Am Acad Ophthalmol Otolaryngol. 1965;69:412–42.
Zvulunov A, Barak Y, Metzker A. Juvenile xanthogranuloma, neurofibromatosis, and juvenile chronic myelogous leukemia: world statistical analysis. Arch Dermatol. 1995;131:904–8.
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Bessette, A., Pichi, F., Singh, A. (2016). Juvenile Xanthogranuloma. In: Gupta, V., Nguyen, Q., LeHoang, P., Herbort Jr., C. (eds) The Uveitis Atlas. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2506-5_126-1
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DOI: https://doi.org/10.1007/978-81-322-2506-5_126-1
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