Abstract
Conflicts of interest: none declared. Sir, Causes of unilateral eyelid swelling include cellulitis, angio‐oedema, granulomatous blepharitis and malignant lymphoma. However, cases of sarcoidosis that present with unilateral eyelid swelling are rare. We report a patient with sarcoidosis who had a remarkable, unilateral eyelid swelling. Interestingly, the patient also had facial nerve palsy in the first branches of the right trigeminal nerve resulting facial weakness, in just the same area as the skin involvement. A 54‐year‐old man was initially seen with a 5‐month history of persistent and asymptomatic eruptions on his right eyelid with low‐grade fever and malaise. Physical examination revealed remarkable swelling on the right eyelid with a brown‐coloured erythema but without heat, tenderness or pruritus (Fig. 1a). Wrinkling around the right side of the forehead was indistinct. In addition, he had a right parotid gland swelling. The initial clinical diagnosis was granulomatous blepharitis. Histopathological examination of his upper right eyelid showed numerous noncaseating granulomas in the dermis, composed of epithelioid cells with a few scattered lymphocytes and histiocytes surrounding the granulomas (Fig. 2a, b).
Published Version
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