To the best of the authors' knowledge, this is the first case of frosted branch angiitis associated with dermatomyositis. Dermatomyositis should be considered in the differential diagnosis of patients presenting with frosted branch angiitis.
Rationale: We report a rare case of neurofibroma in the form of tarsal conjunctival thickening of the eyelid in patients with neurofibromatosis type 1 (NF1), common ocular complications of which are Lisch nodules, choroidal nodules, and optic nerve glioma. Patient concerns: A 46-year-old female patient was diagnosed with neurofibroma after biopsy and removal of 2 lumbar level intradural masses 15 years ago. She was being monitored without recurrence. When the patient visited our hospital, multiple iris Lisch nodules were found in both her eyes with ill-defined, diffuse thickening in the upper eyelid tarsal conjunctiva of the right eye. Diagnosis: Neurofibroma was diagnosed by incisional biopsy and immunohistochemistry of the tarsal conjunctiva. Interventions: The patient of the present case did not undergo any additional surgical treatment because tarsal conjunctiva thickening caused little functional problem. Outcomes: The patient has only been regularly examined for changes in size of neurofibroma, and there was no change in size over a 12-month period. Lessons: Neurofibroma should be considered as a differential diagnosis if a patient diagnosed with NF1 shows tarsal conjunctiva thickening.
Purpose: To report a case of pilomatrixoma that presented as a periorbital area painful, perforating, rapidly growing mass. Case summary: A 35-year-old man presented with rapidly growing a left lower periorbital mass 5 months duration. On examination, it measured 13 mm sized and it was located at the lateral side of the left lower periorbital area. The mass was accompanied with pain. A perforation with yellowish crust on the left lower periorbital area was observed. Conclusion: In patients presenting with a painful and perforating mass, the pilomatrixoma should be considered as a differential diagnosis of a solitary periorbital mass.
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