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Letter
Ophthalmic findings in a patient with CD8-positive T cell lymphoma and a hydroa vacciniforme-like eruption
  1. K J Zamecki,
  2. A H Friedman,
  3. E L Raab
  1. Department of Ophthalmology, The Mount Sinai Medical Center, New York, New York, USA
  1. Correspondence to Professor Alan Friedman, Department of Ophthalmology, The Mount Sinai Medical Center, Box 1183, One Gustave L Levy Place, New York, NY 10029, USA; alan.friedman{at}mssm.edu

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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.

Figure 1

(A) Erythematous and crusted lesions were present on the patient's face, chest, back and limbs. (B) A fleshy, erythematous lesion was present on the temporal bulbar conjunctiva of the patient's right eye.

His best-corrected visual acuity was OD 20/30+2, OS 20/30+1. There was …

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