Sarcoidosis, Presented as Recurrent Eyelid Masses.

Ko, Dong Ah; Kim, Byoung Jin

Case Report

Journal of the Korean Ophthalmological Society 2004;45(9):1590-1595.
Published online September 1, 2004.

Sarcoidosis, Presented as Recurrent Eyelid Masses.

Department of Ophthalmology, Kangdong Sacred Heart Hospital, School of Medicine, Hallym University, Seoul, Korea. feeloph@hanmir.com

재발성 눈꺼풀 종괴로 발현된 사르코이드증 1예

고동아 ( Dong Ah Ko ) , 김병진 ( Byoung Jin Kim )

Abstract

PURPOSE
Sarcoidosis is a granulomatous inflammation that can affect all organs, and the initial manifestation is sometimes ophthalmologic disease. The purpose of this article is to report the diagnosis of ocular sarcoidosis for a patient whose chief complaint was recurrent eyelid mass without any other ophthalmologic symptoms or signs. METHODS: A 43-year-old female had an 8-month history of bilateral upper eyelid swelling, right upper eyelid mass, and right ptosis. She had received localized steroid injection at a local dermatologic clinic. On physical examination, there were hard and fixed eyelid masses and mechanical ptosis due to an eyelid mass in the right upper eyelid. Mass excision and biopsy were performed, and a pulmonology specialist was consulted to evaluate the nodule on chest X-ray RESULTS: The patient's condition had been diagnosed with multiple chalazia at the first pathologic reading, but it was diagnosed with sarcoidosis at the second pathologic reading, which was requested because of recurrence. The diagnosis of sarcoidosis was based on chest PA, and chest CT, and was confirmed by lung biopsy specimen. CONCLUSIONS: In the case of recurrent eyelid mass, sarcoidosis should first be ruled out.

Key Words: Chalazion;Eyelid mass;Sarcoidosis