Erythematous Scaling Eyelids:

Patient History, Exposure to Allergens and Irritants are Keys to Diagnosis

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Julia E. Graves, MD, Robert T. Brodell, MD

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Postgraduate Medicine:

Volume 117 No. 6

Category:

Practice Pearls

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DOI: 10.3810/pgm.2005.06.1664
Abstract: A 42-year-old woman presented for evaluation of a scaly rash around her eyelids that she described as tremendously itchy. The patient admitted to rubbing and scratching but knew of no specific aggravating factors. Although she had had atopic eczema since early childhood, previous adult flares of eczema had involved only her hands. Physical examination revealed bilateral scaling and erythema with lichenification of the upper and lower eyelids (figure 1).

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