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Superficial basal cell carcinoma masquerading as pruritic dermatitis on the upper eyelid.
Acta Dermatovenerol Alp Pannonica Adriat
January 2025
Regional Hospital of Trujillo, Trujillo, Peru.
Although basal cell carcinoma is the most common form of skin cancer, the superficial subtype is rarely seen on the upper eyelid. We report the case of a 71-year-old woman with a 4-year history of upper eyelid pruritus, initially diagnosed as blepharitis and unsuccessfully treated with various medications, including topical and systemic corticosteroids, topical immunomodulators, and antihistamines. The unusual presentation, location, histologic subtype, and persistent pruritus posed a significant diagnostic challenge in this case.
View Article and Find Full Text PDFFLOTCH Syndrome: A Case of Leukonychia Totalis and Multiple Pilar Cysts.
Cutis
October 2023
Oakland University William Beaumont School of Medicine, Rochester, Michigan. Dr. Ryan Brothers and Dr. Ross Brothers also are from Northwest Dermatology Group, Bingham Farms & Washington Township, Michigan, and the Michigan State University College of Human Medicine, East Lansing.
FLOTCH (leukonychia totalis-trichilemmal cysts-ciliary dystrophy syndrome) syndrome is a rare genetic cutaneous disorder primarily characterized by multiple recurrent trichilemmal pilar cysts and leukonychia. It may be associated with ciliary dystrophy, koilonychia, and/or less frequently renal calculi and pancreatitis inherited in an autosomal-dominant fashion. We report the case of a 25-year-old Black woman who presented with white-colored fingernails and enlarging cysts in multiple locations including the scalp, rib cage, and forearm and was diagnosed with suspected FLOTCH syndrome.
View Article and Find Full Text PDFMultiple myeloma presenting as blepharitis in a horse.
Vet Clin Pathol
September 2023
Department of Diagnostic Medicine/Pathobiology, Kansas State University, Manhattan, Kansas, USA.
Article Synopsis
- A 15-year-old Thoroughbred mare was diagnosed with multiple myeloma after displaying recurrent blepharitis and having marked hyperglobulinemia found during routine tests.
- Diagnosis involved bone marrow aspiration revealing over 30% plasma cells and serum tests indicating a monoclonal gammopathy, with suspected IgG(T) M-protein, unique to horses, highlighting the need to consider neoplasia for atypical signs in horses.
Upper Eyelid Nodule - An Unusual Presentation of Ocular Demodicosis.
Nepal J Ophthalmol
July 2021
Advanced Eye Centre, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Introduction: Demodex mite is an external parasite which is implicated in various ocular conditions like anterior blepharitis, posterior blepharitis, meibomian gland dysfunction, chalazia and others. Although demodex has been shown to be a causative agent of chalazia, occurrence of a solitary inflammatory nodule due to demodex infestation has not been reported in literature.
Case: Our case describes the occurrence of an upper eyelid mass in a 62-year-old female which was found to have an associated demodex infestation.
Bilateral ptosis/blepharitis due to lepromatous leprosy.
Am J Ophthalmol Case Rep
March 2022
Department of Ophthalmology, Louisiana State University Health Sciences Center, Shreveport, LA, 71130, USA.
Purpose: To underscore the importance of histopathological evaluation in cases presenting with a constellation of unusual ocular inflammation and physical findings.
Observation: A 51-year-old male, presented with a chief complaint of worsening visual field loss due to droopy eyelids two months post excision of a right upper eyelid squamous cell carcinoma. His past medical history included chronic edematous facial features, chronic sinusitis, unexplained peripheral neuropathy, and worsening fatigue.
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