Primary Systemic Amyloidosis of the Eyelid: A Case Report.

Kang, Yeon Soo; Choi, Won; Yoon, Kyung Chul

doi:2015.56.7.1117

J Korean Ophthalmol Soc > Volume 56(7); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(7):1117-1121.
DOI: https://doi.org/10.3341/jkos.2015.56.7.1117 Published online July 15, 2015.

Primary Systemic Amyloidosis of the Eyelid: A Case Report.

Yeon Soo Kang, Won Choi, Kyung Chul Yoon

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. kcyoon@jnu.ac.kr

눈꺼풀에 발생한 일차성 전신성 아밀로이드증 1예

강연수⋅최 원⋅윤경철

전남대학교 의과대학 안과학교실

Received: 16 January 2015 • Revised: 14 April 2015 • Accepted: 4 June 2015

Abstract

PURPOSE
Amyloidosis involving the eyelid is a rare condition. We report a case of primary systemic amyloidosis of the eyelid. CASE SUMMARY: A 26-year-old female presented with multiple nodules on the bilateral upper and lower eyelids that had stopped growing several years prior. Multiple pearl-colored small nodular lesions were present on the upper and lower eyelid bilaterally and no clinically specific signs were observed. Surgical excision, biopsy and electrocauterization were performed. Histological examination showed amorphous and eosinophilic substances on hematoxylin & eosin (H&E) staining and orange-colored amyloid deposits stained with Congo-red. Systemic evaluation showed amyloid nodules invading the vocal cords and external auditory canal, therefore the patient was diagnosed with primary systemic amylodosis. At the postoperative 6-month follow-up, recurrence or inflammation at the operation site was not observed. CONCLUSIONS: To the best of our knowledge, this is the first case of primary systemic amyloidosis of the eyelid in Korea. Amyloidosis should be considered in a differential diagnosis of a mass in the eyelid and can be successfully managed with surgical excision and electrocauterization.

Key Words: Amyloidosis;Eyelid mass;Molluscum contagiosum