Answer
Spontaneous regression of skin lesions is the natural course, but in ocular disease, regression has only been infrequently documented.
JXG is an important cause of spontaneous hyphema in childhood, the sequelae of which include secondary glaucoma and blindness.
Visual prognosis of iris JXG depends upon prompt diagnosis and treatment prior to intraocular hemorrhage. Once hyphema occurs, visual morbidity increases substantially.
In patients with other ocular or orbital involvement, prognosis varies with the extent of the disease and its response to treatment.
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Media Gallery
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Juvenile xanthogranuloma. Photograph of an 18-month-old presenting with a firm, nodular, tan-yellow lesion that has grown since first noticed 6 months ago. An examination under anesthesia did not reveal any ocular abnormalities. Excision of the lesion confirmed that this was a juvenile xanthogranuloma.
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Touton giant cell in juvenile xanthogranuloma. Touton giant cell with a wreath of nuclei surrounding a homogenous eosinophilic cytoplasmic center in juvenile xanthogranuloma. Touton cells are named after Karl Touton, who first described them in 1885. Touton giant cells are seen in xanthoma, juvenile and adult xanthogranulomas, dermatofibroma, and fat necrosis.
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