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There are a growing number of patients with hydroa vacciniforme-like (HV) lesions who are found to have malignant lymphoma.1 To our knowledge, only two reports in the literature exist of patients with CD8-positive T cell lymphoma who have HV-like lesions, and none in the ophthalmic literature of the ocular histopathological findings2 3 in this disease.
Report of a case
An 11-year-old boy presented with a four-year history of a vesicular rash predominantly on the sun-exposed areas of his body (figure 1A). He had developed fever, weight loss, and episodic eye injection and pain. His past medical history was non-contributory.
His best-corrected visual acuity was OD 20/30+2, OS 20/30+1. There was …