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February 1994

Extensive Squamous Hyperplasia of the Meibomian Duct in Acne Rosacea

Author Affiliations

Providence, RI; Boston, Mass

Arch Ophthalmol. 1994;112(2):160-161. doi:10.1001/archopht.1994.01090140034012

Acne rosacea is a chronic disorder of the skin involving the middle face, nose, cheeks, forehead, and chin. The typical appearance is that of cutaneous erythema and telangiectasia. Ophthalmic manifestations of acne rosacea are common and include blepharitis, conjunctivitis, chalazia, hordeola, episcleritis, and keratitis. We report a case of extensive squamous hyperplasia of the sebaceous duct within the eyelid of a patient with acne rosacea.

Report of a Case.  An 83-year-old white man with acne rosacea presented with a lesion of the right lower eyelid that had been present for approximately 2 months and had gradually enlarged. Results of ophthalmologic evaluation were significant for a pearly lesion with a central crater on the right lower eyelid. A mild bilateral blepharoconjunctivitis was present, along with diffuse thickening and telangiectasia of the eyelid margins. Other signs of acne rosacea that were evident included rhinophyma and telangiectasia of the face. A full-thickness excisional

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