title: Marked bilateral lower eyelid ectropion in cutis laxa: a paraneoplastic process in multiple myeloma.
abstract: OBJECTIVE
  To describe a bilateral involutional lower eyelid ectropion in a patient with cutis laxa, a paraneoplastic process in multiple myeloma.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 60-year-old male presented with a marked involutional left lower eyelid ectropion. Systemic history included cutis laxa, a paraneoplastic feature of multiple myeloma. After surgical treatment, the ectropion recurred; furthermore, a right lower eyelid ectropion developed. In addition, a distinct dermatochalasis of both upper eyelids was present.
  
  
  CONCLUSIONS
  This case is the first description of a marked bilateral involutional ectropion in cutis laxa acquisita.
authors.affiliation: Department of Ophthalmology, Erasmus Medical Centre, Rotterdam, The Netherlands.
authors.forename: N W R
authors.initials: NW
authors.lastname: Slingerland
authors.forename: P
authors.initials: P
authors.lastname: Sonneveld
authors.forename: J C den
authors.initials: JC
authors.lastname: Hollander
authors.forename: I
authors.initials: I
authors.lastname: Bleyen
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003483:Cutis Laxa / Q000150:complications* / Q000601:surgery; D004483:Ectropion / Q000209:etiology* / Q000601:surgery; D005143:Eyelids / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D013508:Ophthalmologic Surgical Procedures; D059545:Paraneoplastic Syndromes, Ocular / Q000150:complications* / Q000473:pathology; D012008:Recurrence