Important note: Information in this article was accurate in 1996. The state of the art may have changed since the publication date.
Conjunctival intraepithelial neoplasia. A possible marker for human immunodeficiency virus infection?
Arch Ophthalmol. 1996 Mar;114(3):257-61. Unique Identifier : AIDSLINE MED/96176004 Karp CL; Scott IU; Chang TS; Pflugfelder SC; Bascom Palmer Eye Institute, University of Miami School of; Medicine, Florida 33136, USA.
Abstract:
BACKGROUND: Conjunctival intraepithelial neoplasia has traditionally been found at the limbus in elderly individuals. Recently, this ocular tumor has been observed in younger patients. OBJECTIVE: To investigate the potential association of human immunodeficiency virus infection with the emergence of this atypical presentation of conjunctival intraepithelial neoplasia. DESIGN, SETTING, AND PARTICIPANTS: Records of patients at the Bascom Palmer Eye Institute (Miami, Fla) in whom conjunctival intraepithelial neoplasia was diagnosed between January 1, 1991, and December 31, 1993, were reviewed. Attempts were made to contact those patients younger than 50 years for clinical evaluation and human immunodeficiency virus serologic testing. RESULTS: Conjunctival intraepithelial neoplasia was diagnosed in 73 patients during the study period. Of the nine patients younger than 50 years, six were available for serologic testing. Three (50%) of these individuals were found to be positive for human immunodeficiency virus. CONCLUSION: Human immunodeficiency virus testing and counseling should be considered in patients younger than 50 years in whom conjunctival intraepithelial neoplasia is diagnosed.
Keywords: Adult Biological Markers Carcinoma in Situ/COMPLICATIONS/*PATHOLOGY Case Report Conjunctival Neoplasms/COMPLICATIONS/*PATHOLOGY CD4 Lymphocyte Count Female Human HIV Infections/COMPLICATIONS/*DIAGNOSIS HIV Seropositivity/COMPLICATIONS/DIAGNOSIS Male Middle Age Neoplasm Recurrence, Local Support, Non-U.S. Gov't Visual Acuity JOURNAL ARTICLE 960730
M9670478
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