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Aug 2012

A 38-Year-Old Woman With Eyelid Discoloration—Diagnosis

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-f

Histopathologic analysis showed dilated vessels with a mild diffuse and perivascular infiltrate of mononuclear cells and neutrophils on hematoxylin-eosin staining, consistent with the patient's known AOSD. A diagnosis of a heliotrope-like manifestation of AOSD was given.

The patient was treated with Vaseline (Unilever). Though her heliotrope eruption improved somewhat, it never remitted completely. She noted worsening of the heliotrope during a systemic flare (eg, arthralgias) of her AOSD.

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