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Letter to the Editor
Keratoacanthoma of the bulbar conjunctiva
  1. SARAH E COUPLAND
  1. Department of Pathology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  2. Department of Ophthalmology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  3. Department of Pathology, Western Infirmary, University of Glasgow, Scotland
  1. HEINRICH HEIMANN,
  2. ULRICH KELLNER,
  3. NORBERT BORNFELD,
  4. MICHAEL H FOERSTER
  1. Department of Pathology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  2. Department of Ophthalmology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  3. Department of Pathology, Western Infirmary, University of Glasgow, Scotland
  1. WILLIAM R LEE
  1. Department of Pathology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  2. Department of Ophthalmology, Universitätsklinikum Benjamin Franklin, Freie Universität, Berlin, Germany
  3. Department of Pathology, Western Infirmary, University of Glasgow, Scotland
  1. Dr Coupland.

https://doi.org/10.1136/bjo.82.5.584b

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    Editor,—Keratoacanthoma is a relatively common benign tumour of exposed areas of skin and occurs predominantly in the white-skinned races.1 In contrast, keratoacanthoma of the conjunctiva occurs rarely.2-4 Reported here is the fourth case of conjunctival keratoacanthoma and the first to be reported in a black patient.

    CASE REPORT

    A 37 year old Ethiopian civil engineer, resident in Germany for 10 years, presented with foreign body symptoms in the conjunctiva of the left eye to his ophthalmologist 2 weeks after grinding metal at work. A small white elevated lesion was observed at the limbus and the patient was referred to our hospital with the diagnosis of conjunctival foreign body granuloma. On examination, a white nodular mobile tumour with a centrally hyperkeratotic area, approximately 5 × 4 × 4 mm in size, was apparent at the nasal limbus in the left eye and was surrounded by moderate conjunctival injection (Fig 1). The remaining ophthalmological and systemic examination proved unremarkable; …

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