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JAMA Ophthalmology Clinical Challenge
July 2015

Bilateral Eyelid Nodules Impairing Eyelid Closure in 2 Siblings

Author Affiliations
  • 1Department of Ophthalmology, The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
  • 2Department of Pathology, The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada
  • 3Department of Ophthalmology, Dalhousie University, Halifax, Nova Scotia, Canada
JAMA Ophthalmol. 2015;133(7):847-848. doi:10.1001/jamaophthalmol.2015.209

Two brothers in their late teens presented with bilateral eyelid swelling and irritation that had lasted 1 year. There was no history of associated eyelid pain or bleeding. The older brother had an extensive medical history, including dysphonia, oral mucosal lesions, alopecia, recurrent parotitis, vocal cord swelling, and recurrent vesicular eruptions on his face, trunk, and perineum. He had seen several medical specialists and had been comprehensively evaluated for these concerns yet remained undiagnosed since birth. Two skin biopsies were performed at 2 and 6 years of age, but the findings were considered unremarkable.

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