In this section we have Logan's cases since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.

Allergic granulomatous nodules of eyelid and conjunctiva

By Operations Pathhub

May 25

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Case 502 (R. Carr) Nasal polyps and allergies. Lumpy red conjunctiva and eyelids.

Striking eosinophil-rich infiltrate with giant cells and flame figures/Splendore-Hoeppli phenomenon. In this case the S-H reaction is an allergic phenomenon, not in response to a foreign organism as is usually the case. (This is ringing small bells – is it to do with granuloma faciale and its internal counterpart?) Some reasonably thought Churg-Strauss type reaction.

Ref: Ashton N, Cook C. Am J Ophthalmol. 1979 Jan;87(1):1-28.