Hypertrophic discoid lupus erythematosus of the conjunctiva

PURPOSE: To report the ophthalmic manifestations of hypertrophic discoid lu pus erythematosus of the conjunctiva, METHOD: Case report and review of biopsy results, RESULTS: A 58-year-old woman with a history of chronic blepharoconjunctivit is presented with an unusual raised conjunctival lesion. Previous biopsy sl ides were reviewed and interpreted as diagnostic of discoid lupus erythemat osus, hypertrophic or verrucous type. Both blepharoconjunctivitis and the r aised conjunctival lesion resolved with hydroxychloroquine therapy, CONCLUSIONS: A raised conjunctival mass in the context of refractory blepha roconjunctivitis should elicit suspicion for discoid lupus erythrmatosus, T he hypertrophic variant of this disease can affect the conjunctiva. (C) 199 9 by Elsevier Science Inc. All rights reserved.