The patient is a 23 y.o. man with a 3 month history of an
eyelid dermatitis. He was treated with a
topical corticosteroid and a topical antifunal.
Neither was effective. Personal
history is significant for Crohn’s disease (in remission for years with
6-mercaptopurine). His father has
rosacea.
O/E: There are
erythematous, slightly scaly papules at the left outer canthus and lower lid. The lower lid margin is slightly red. Right eye completely normal.
Photos:
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| O.S. |
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| O.D. |
Pathology:
3 mm punch biopsy obtained.
Diagnosis:
Eyelid Dermatotis:
Consider granulomatous rosacea, demodeciasis. Cutaneous Crohn’s disease (unlikely)
Follow-up: Biopsy is c/w rosacea. No demodex noted. No granulomatous changes.
Follow-up: Biopsy is c/w rosacea. No demodex noted. No granulomatous changes.
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