[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 23.23.50.247. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 337
Citations 0
Off-Center Fold
Aug 2012

A 38-Year-Old Woman With Eyelid Discoloration—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD

Arch Dermatol. 2012;148(8):947-952. doi:10.1001/archderm.148.8.947-b

A 38-year-old woman with adult-onset Still disease (AOSD) presented with a 3-year history of eyelid discoloration (Figure 1). The changes developed gradually following hospitalization for septic shock related to long-term immunosuppressive therapy for AOSD. After onset, the patches became more noticeable with arthritic flares. She had no other skin changes and no prior treatment of eyelid eruption. Her previous AOSD symptoms included fever, arthritis, pleuritis, lacy dermatitis, and dermatographism. Previous treatments for her AOSD included prednisone, leukovorin, methotrexate, infliximab, hydroxychloroquine, etanercept, and anakinra. Her medications at the time of presentation were aspirin, omeprazole, potassium chloride, and prednisone, 4 mg/d. Her medical history included factor V Leiden deficiency and deep-vein thrombosis.

First Page Preview View Large
First page PDF preview
First page PDF preview
×