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Int J Trichology. 2019 Jul-Aug;11(4):167-169. doi: 10.4103/ijt.ijt_51_19.

A Rare Pigmented Lesion of the Eyelid.

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Department of Ophthalmic Pathology Laboratory, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Department of Pathology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.


This study aims to report a rare case of melanoacanthoma of the eyelid. Melanoacanthoma is very rare variant of seborrheic keratosis presenting as a rare benign pigmented lesion composed of both melanocytes and keratinocytes usually presenting over the head, neck, and trunk of elderly people. A 61-year-old female presented with 8 mm × 4 mm × 3 mm brownish black mass in her right lower lid for the past 4 years associated with itching. Clinical differential diagnosis of seborrheic keratosis and nevus was offered. The patient underwent shave biopsy, and biopsy tissue was sent for histopathological examination. A diagnosis of melanoacanthoma was made on histopathology. Melanoacanthoma of the eyelid is a rare entity, and one should consider in differential diagnosis of pigmented lesion of the eyelid mass.


Melanoacanthoma; nevus; pigmented lesion; seborrheic keratosis

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