Survey of Ophthalmology
Volume 46, Issue 2 , Pages 164-171 , September 2001

Juvenile Xanthogranuloma Masquerading as Pediatric Chronic Uveitis: A Clinicopathologic Study

  • Ehud Zamir, MD

      Affiliations

    • Doheny Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
  • ,
  • Robert C Wang, MD

      Affiliations

    • Doheny Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
  • ,
  • Subramanian Krishnakumar, MD

      Affiliations

    • Doheny Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
  • ,
  • Amy Aiello Leverant, MD

      Affiliations

    • Arizona Pediatric Eye Specialists, Phoenix, AZ USA
  • ,
  • Pravin U Dugel, MD

      Affiliations

    • Retinal Consultants of Arizona, Phoenix, AZ, USA
  • ,
  • Narsing A Rao, MD

      Affiliations

    • Doheny Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA USA
    • Corresponding Author InformationReprint address: Narsing A. Rao, MD, Doheny Eye Institute, University of Southern California, Keck School of Medicine, 1450 San Pablo Street, DVRC 211, Los Angeles, CA 90033.

References 

  1. Histiocytosis syndromes in children. Writing Group of the Histiocyte Society. Lancet. 1987;1:208–209
  2. Andersen WK, Knowles DM, Silvers DN. CD1 (OKT6)-positive juvenile xanthogranuloma. OKT6 is not specific for Langerhans cell histiocytosis (histiocytosis X). J Am Acad Dermatol. 1992;26:850–854
  3. Cadera W, Silver MM, Burt L. Juvenile xanthogranuloma. Can J Ophthalmol. 1983;18:169–174
  4. Chang MW, Frieden IJ, Good W. The risk intraocular juvenile xanthogranuloma (survey of current practices and assessment of risk). J Am Acad Dermatol. 1996;34:445–449
  5. Cohen BA, Hood A. Xanthogranuloma (report on clinical and histologic findings in 64 patients). Pediatr Dermatol. 1989;6:262–266
  6. 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
  7. Enzinger FM, Weiss SW. Juvenile xanthogranuloma. In:  Enzinger FM,  Weiss SW editor. Soft Tissue Tumors. St Louis: Mosby; 1983;p. 135–140
  8. Foucar K, Foucar E. The mononuclear phagocyte and immunoregulatory effector (M-PIRE) system (evolving concepts). Semin Diagn Pathol. 1990;7:4–18
  9. Gass JDM. Management of juvenile xanthogranuloma of the iris. Arch Ophthalmol. 1964;71:344–347
  10. Godde-Jolly D, Rozenbaum J, Chazalon T: [2 cases of juvenile xanthogranuloma. Diagnostic and therapeutic problems posed by the iridic localization of the disease]. Bull Soc Ophtalmol Fr 85:889–93, 1985
  11. Gonzalez-Crussi F, Campbell RJ. Juvenile xanthogranuloma (ultrastructural study). Arch Pathol. 1970;89:65–72
  12. Harley RD, Romayananda N, Chan GH. Juvenile xanthogranuloma. J Pediatr Ophthalmol Strabismus. 1982;19:33–39
  13. Karcioglu ZA, Mullaney PB. Diagnosis and management of iris juvenile xanthogranuloma. J Pediatr Ophthalmol Strabismus. 1997;34:44–51
  14. Lever WF, Schaumberg-Lever G. In: Histopathology of the skin. Philadelphia: JB Lippincott; 1991;p. 442–443
  15. Marrogi AJ, Dehner LP, Coffin CM, Wick MR. Benign cutaneous histiocytic tumors in childhood and adolescence, excluding Langerhans cell proliferations. A clinicopathologic and immunohistochemical analysis. Am J Dermatopathol. 1992;14:8–18
  16. McMenamin PG, Crewe J, Morrison S, Holt PG. Immunomorphologic studies of macrophages and MHC class II-positive dendritic cells in the iris and ciliary body of the rat, mouse, and human eye. Invest Ophthalmol Vis Sci. 1994;35:3234–3250
  17. Muller RP, Junemann G: [Results of radiotherapy in case of juvenile xanthogranuloma of the iris]. Strahlentherapie 159:277–82, 1983
  18. Parmley VC, George DP, Fannin LA. Juvenile xanthogranuloma of the iris in an adult. Arch Ophthalmol. 1998;116:377–379
  19. Sanders TE. Intraocular juvenile xanthogranuloma (nevoxanthogranuloma) (a survey of 20 cases). Trans Am Ophthalmol Soc. 1960;58:59–74
  20. Schwartz LW, Rodrigues MM, Hallett JW. Juvenile xanthogranuloma diagnosed by paracentesis. Am J Ophthalmol. 1974;77:243–246
  21. Treacy KW, Letson RD, Summers CG. Subconjunctival steroid in the management of uveal juvenile xanthogranuloma (a case report). J Pediatr Ophthalmol Strabismus. 1990;27:126–128
  22. Wertz FD, Zimmerman LE, McKeown CA, et al.  Juvenile xanthogranuloma of the optic nerve, disc, retina, and choroid. Ophthalmology. 1982;89:1331–1335
  23. Zimmerman LE. Ocular lesions of juvenile xanthogranuloma. Nevoxanthoendothelioma. Trans Am Acad Ophthalmol Otolaryngol. 1965;69:412–442

 Supported in part by National Institutes of Health core grant EY03040 and by an unrestricted grant from Research to Prevent Blindness, New York, New York.

PII: S0039-6257(01)00253-3

Survey of Ophthalmology
Volume 46, Issue 2 , Pages 164-171 , September 2001