We present the case of a patient with long-standing relapsing polychon
dritis and first, an orbital mass and, then, a ''salmon patch'' conjun
ctival mass. The histologic pathologic findings were similar on both o
ccasions, showing an inflammatory process with reactive lymphoid hyper
plasia. In both situations, the masses responded to a short course of
systemic corticosteroids. Although ocular inflammatory changes from re
lapsing polychondritis have been well described, to our knowledge, the
re have been no previous reports of conjunctival changes in the form o
f a salmon patch lesion, as described here. Relapsing polychondritis m
ay be added to the differential diagnosis of a conjunctival salmon pat
ch lesion.