Pilomatrixoma of eyelid in a middle aged

  • N Passi Regional Institute of Ophthalmolgy, Pt BD Sharma, Post Graduate Institute of Medical Sciences (PGIMS) , Rohtak, Haryana
  • U Chawla Regional Institute of Ophthalmolgy, Pt BD Sharma, Post Graduate Institute of Medical Sciences (PGIMS) , Rohtak, Haryana
  • A Joyti Regional Institute of Ophthalmolgy, Pt BD Sharma, Post Graduate Institute of Medical Sciences (PGIMS) , Rohtak, Haryana
  • AK Khurana Regional Institute of Ophthalmolgy, Pt BD Sharma, Post Graduate Institute of Medical Sciences (PGIMS) , Rohtak, Haryana
Keywords: Pilomatrixoma, Malherbes's calcifying epithelioma, eyelid nodule

Abstract

Background: Pilomatrixoma , also known as Malherbes’s calcifying epithelioma, known to occur in children, is not common especially in middle aged and those below 10 years of age . Pilomatrixoma presents as a firm skin nodule on eye lid or eye brow, so should be considered in the differential diagnosis of such lesions involving eyelids.

Case: A 45-year-old male presented with a swelling in the left upper lid for the last 4 months. There was firm to hard non tender nodule measuring 1.5 cm. x 1.5cm in size on the lateral aspect of the left upper eye lid , involving the lid margin with variegated appearance of overlying skin with a few ulcerated areas on the surface. A presumptive diagnosis of meibomian gland carcinoma was made and an excision biopsy with primary lid repair was carried out. Histopathological examination confirmed the diagnosis of pilomatrixoma.

Conclusion: The present case is reported to sensitize the ophthalmologists to think beyond chalazion and meibomian gland carcinoma for a firm, nodular, non ulcerated, painless lid swelling.

Key words: Pilomatrixoma; Malherbes's calcifying epithelioma; eyelid nodule  

DOI: 10.3126/nepjoph.v3i1.4286

Nepal J Ophthalmol 2011;3(5):88-90

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How to Cite
Passi, N., Chawla, U., Joyti, A., & Khurana, A. (1). Pilomatrixoma of eyelid in a middle aged. Nepalese Journal of Ophthalmology, 3(1), 88-90. https://doi.org/10.3126/nepjoph.v3i1.4286
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Case Reports