Zeitschrift für klinische und experimentelle Ophthalmologie
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Bilateral Conjunctival Nodules in Sweet's Syndrome

Yan Zhuang and Ying Li

The authors report a case with bilateral conjunctival nodules in Sweet's syndrome. The patient was a 47-year-old Chinese male, who fulfilled the diagnostic criteria of Sweet's syndrome. Fever as well as erythematous papules and blains on his face and arms resolved completely after administration of oral prednisolone. However, he developed secondary facial milia and painless nodules in bilateral eyes. Two well demarcated conjunctival nodules with hyperemia were found, one in the temporal aspect of the right eye and the other in the nasal aspect of the left eye. Excision biopsy of the right eye's lesion showed neutrophilic infiltration without vasculitis, the same histopathologic feature of Sweet's syndrome. The one in the left eye was responsive to local corticosteroids. To our knowledge, this is the first reported case of bilateral conjunctival nodules in Sweet's syndrome.