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September 1984

Blepharitis Granulomatosa

Author Affiliations

Department of Dermatology Tohoku University School of Medicine 1-1 Seiryo machi Sendai 980, Japan

Arch Dermatol. 1984;120(9):1141-1142. doi:10.1001/archderm.1984.01650450023011

To the Editor.—  Localized cheilitis granulomatosa (CG)1 is a chronic granulomatous disorder characterized by chronic facial swelling that commonly develops on the lips. Other cases have been reported in which eruptions developed on the tongue, the forehead, the chin, the bucca, and the trunk.2We describe a patient who manifested chronic swellings of bilateral eyelids, without any disturbance of facial and sensory nerves. Histologic examination showed many scattered, small foci of granulomas composed of epithelioid cells, confirming the diagnosis of ectopic CG, that is, blepharitis granulomatosa.

Report of a Case.—  A 41-year-old man was seen in our clinic for left upper eyelid swelling, with slight erythema, of about eight months' duration. Six months after his first admission, a similar left lower eyelid swelling occurred. Glycosuria had been detected in the previous year but had not been treated.The physical examination showed diffuse erythema and swelling of the left upper

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