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JAMA Dermatology Clinicopathological Challenge
August 2018

Erythematous Plaque on the Inferior Eyelid

Author Affiliations
  • 1Department of Dermatology, Hospital Santa Casa de Curitiba, Curitiba, Brazil
  • 2Department of Dermatology, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
  • 3Department of Pathology, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil
JAMA Dermatol. 2018;154(8):957-958. doi:10.1001/jamadermatol.2018.0019

A 40-year-old healthy woman presented with an 8-year history of a slowly growing erythematous plaque on the left lower eyelid, with occasional discomfort. Physical examination revealed a single erythematous scaling plaque involving the left lower eyelid, including its border. Eyelashes were totally absent (Figure 1A). No other lesions were found after complete physical examination. Dermoscopy showed an erythematous background, telangiectatic vessels, whitish structureless areas, and whitish scales (Figure 1B). A 4-mm punch biopsy specimen was obtained (Figure 1C).

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