Eyelid swelling as the only manifestation of ocular sarcoidosis.
OBJECTIVE
To describe a case of eyelid sarcoidosis without systemic manifestations with a three-year follow-up.


METHODS
A 73-year-old woman presented complaining of a one-year history of swelling and hyperemia in the right upper eyelid. To confirm the diagnosis, we performed an incisional biopsy of the eyelid.


RESULTS
Histopathological examination showed a non-caseating granulomatous process suggestive of sarcoidosis. After three years, the patient was asymptomatic and physical and laboratory examination showed no signs of systemic sarcoidosis.


CONCLUSIONS
The histopathological exam was fundamental for the diagnosis.
Pessoa de Souza Filho
João
J
Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil. jpessoafilho@hotmai.com
Martins
Maria Cristina
MC
Sant'Anna
Ana Estela B P P
AE
Coutinho
Anamaria Baptista
AB
Burnier
Miguel N
MN
Rigueiro
Moacyr Pezati
MP
D000284:Administration, Oral; D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D004487:Edema / Q000473:pathology*; D005141:Eyelid Diseases / Q000188:drug therapy / Q000473:pathology*; D005143:Eyelids / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D012507:Sarcoidosis / Q000188:drug therapy / Q000473:pathology*
D005938:Glucocorticoids; D011241:Prednisone