XXXX with bilateral conjunctival involvement: a case report.

@entity558 @entity527 @entity548 @entity2783 @entity3217 @entity5 @entity1582 @entity2024 @entity288
BACKGROUND: @entity2783 is a very rare condition, generally unilateral, and presents mostly as an @entity558 without systemic compromise. Our purpose is to present a new case of @entity1582 with a bilateral conjunctival involvement. CASE PRESENTATION: A 66-years-old caucasian female complaining of @entity548 and chemosis in both eyes for the last five years had been discontinuously treated with topical antibiotics and corticosteroids without any evident improvement. She presented with a pink-yellow infiltration in the inferior conjunctiva of both eyes. Conjunctival biopsy under optical microscopy revealed @entity527 , confirmed by Congo red staining. Mucosal biopsy from esophagus and rectus confirmed @entity2783 by Congo red stain. Immunohistochemistry of bone marrow biopsy showed an increased number of plasma cells and an over-expression of light chain kappa subunit. She was treated with @entity288 and lubrication with an improvement of symptoms. @entity3217 remained stable after a follow-up of 3  years. CONCLUSIONS: @entity2783 is a rare entity that may be overlooked, and should be differentiated from chronic @entity2024 and @entity5 . Although it presents most frequently as a local process, a systemic involvement should always be ruled out.
