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May 2009

Periorbital Papulovesicular Eruption in an Elderly Man—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCE

 

CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2009;145(5):589-594. doi:10.1001/archdermatol.2009.91-a

A 69-year-old African American man presented with a 7-month history of a recurrent, mildly pruritic, papulovesicular eruption around both eyes. Previous treatment included miconazole cream, with no improvement. On physical examination, both upper and lower eyelids and the surrounding periorbital skin revealed numerous scattered, 2- to 4-mm, erythematous macules; erosions; and a few intact vesicles (Figure 1). There was no scarring or milia and no evidence of ocular or oral erosions. Findings from a complete blood cell count were within reference range, and results from an antinuclear antibody test were negative. A shave biopsy specimen of one of the vesicles was obtained (Figure 2 and Figure 3).

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