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Nepal J Ophthalmol. 2011 Jan-Jun;3(1):88-90. doi: 10.3126/nepjoph.v3i1.4286.

Pilomatrixoma of eyelid in a middle aged.

Author information

  • 1Regional Institute of Ophthalmolgy, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India. drneebha@yahoo.co.in

Abstract

BACKGROUND:

Pilomatrixoma , also known as Malherbes's calcifying epithelioma, known to occur in children, is not common especially in middle aged and those below 10 years of age . Pilomatrixoma presents as a firm skin nodule on eye lid or eye brow, so should be considered in the differential diagnosis of such lesions involving eyelids.

CASE:

A 45-year-old male presented with a swelling in the left upper lid for the last 4 months. There was firm to hard non tender nodule measuring 1.5 cm. x 1.5cm in size on the lateral aspect of the left upper eye lid , involving the lid margin with variegated appearance of overlying skin with a few ulcerated areas on the surface. A presumptive diagnosis of meibomian gland carcinoma was made and an excision biopsy with primary lid repair was carried out. Histopathological examination confirmed the diagnosis of pilomatrixoma.

CONCLUSION:

The present case is reported to sensitize the ophthalmologists to think beyond chalazion and meibomian gland carcinoma for a firm, nodular, non ulcerated, painless lid swelling.

© NEPjOPH.

PMID:
21587326
[PubMed - indexed for MEDLINE]
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