PIGMENTED ACTINIC KERATOSIS MASQUERADING AS MALIGNANT MELANOMA

Abstract

Rupali Chopra, Arun Bhatti, Kanwardeep Kwatra, Nitin Batra

PRESENTATION OF CASE A 28-year-old Asian, agriculturist by profession, presented to the Department of Ophthalmology with history of two pigmented lesions one each on the temporal and nasal bulbar conjunctiva of the right eye for the past one month. The patient reported that the lesions had displayed a rapid growth in the past two weeks. He had no previous ophthalmic problems. He had no history of any conjunctival nevus before the appearance of these lesions. His past medical history was unremarkable. Ocular examination demonstrated two pigmented lesions one each on the nasal and temporal bulbar conjunctiva of the right eye measuring 4x4x2 mm and 7x3x2 mm respectively (Figure 1). The lesions were raised, pigmented, with irregular surface due to plaque formation. The margins of the lesions were well defined and there was no corneal involvement seen on either side. Feeder vessels were identified for both the lesions.

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