Pigmented Nevus—Eyelid. Presented by Cortland Myers, MD.
This 4-year-old white girl presents a 1 cm dark irregularly brown velvety patch involving the middle third of both the upper and lower eyelids of the left eye. Present since birth, the lesion has darkened in the past year.The case is presented to illustrate the embryology of eyelid formation and suggestions for management.
Cortland Myers, MD: The embryological considerations presented by this lesion are very interesting. The eyelid forms at about age 3 months in intra-uterine life. At 6 months, it divides into an upper and lower lid. In spite of the theory of origin of nevus cells to which one adheres, this case would suggest that the nevus cells arrived or developed at this location somewhere between the third and sixth month of embryological life.This lesion presents a very difficult problem in removal. Is there any way one can
Sidell CM, Marmelzat WL, Storkan MA, Berke M. THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELESThe Los Angeles County Medical Association. Arch Dermatol. 1968;97(6):729-733. doi:10.1001/archderm.1968.01610120119019