When Mycosis Fungoides Meets Bee Sting: A Case Of Misdiagnosed Scleritis
Published 2024 - 42nd Congress of the ESCRS
Reference: PO166 | Type: Case Report | DOI: 10.82333/85sb-gc89
Authors: Nikhil Agrawal* 1 , Nidhi Paharia 2 , Kavita Bhatnagar 3 , Kirti Jaisingh 4 , Manjari Tandon 3 , Seema Meena 3
1Ophthalmology,AIIMS Jodhpur,Jodhpur,India;Ophthamology,AIIMS Jodhpur,Jodhpur,India, 2ophthalmology,AIIMS Jodhpur,jodhpur,India, 3Ophthalmology,AIIMS Jodhpur,Jodhpur,India, 4Ophthamology,AIIMS Jodhpur,Jodhpur,India
Purpose
To presnt a case of bes sting injury presented as scleritis in patient of Mycosis Fungoides
Setting
Department of Ophthalmology AIIMS Jodhpur
Report of case
A 57-year-old male on immuno-modulators for biopsy-proven Mycosis Fungoides presented to the ophthalmology department with a history of acute exacerbation of pain and redness in the right eye for one week. On examination, the patient had a bright erythematous lesion involving the ala and apex of the nose, which had recently flared up. A provisional diagnosis of acute scleritis secondary to Mycosis Fungoides was made. The patient was started on oral and topical steroids. Within two weeks the patient gradually improved, however with decreased congestion and increased visibility of the ocular surface, a pigmented foreign body was visualised in the sub-conjunctival space. The foreign body was removed with the help of a 26 gauge needle and sent for histopathological examination, and surprisingly, the foreign body turned out to be the bee sting.
Conclusion/Take home message
Bee sting may act as mesqureder in patients with bee sting injusy occluding the sting under extreme redness