[Micronodular thickening of eyelid margins. Initial findings of a general disease].
A 9-year-old boy presented with bilateral chronic thickening of the upper and lower eyelid margins with bead-like papules. The voice was hoarse due to a previously diagnosed thickening of the vocal cords. There was a history of recurrent abscesses of the parotid gland and of attention deficit hyperactivity disorder (ADHD).The eyelid changes were recognized as monoliform blepharitis and the diagnosis of lipoid proteinosis (Urbach-Wiethe disease) was confirmed by eyelid biopsy. The diagnosis of this systemic disease explained the other signs and symptoms of the patient.
Huchzermeyer
C
C
Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg, Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Deutschland. Cord.Huchzermeyer@uk-erlangen.de
Ćirković
A
A
Holbach
L
L
D001762:Blepharitis / Q000150:complications* / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D005143:Eyelids / Q000473:pathology*; D006801:Humans; D008065:Lipoid Proteinosis of Urbach and Wiethe / Q000150:complications* / Q000175:diagnosis*; D008297:Male