Wendy Chen, MD, PhD: PGY-3 Charleen T. Chu, MD, PhD: Neuropathology. Ocular Pathology Clinical Case January 2010. History of Present Illness. 50 yo Caucasian male presenting with right lower eyelid erythema and thickening. Itchy Erythema fluctuates, worse after sun exposure
Charleen T. Chu, MD, PhD: Neuropathology
“lichenoid dermatitis with deep perivascular extension of the infiltrate . . . lupus erythematosis vs. lichenoid photodermatitis”
Va CC: 20/20 OU
Pupils: No APD
IOP: 14 OU
EOM: Full OU
CVF: Full OU
Squamous cell nests and strands infiltrating the dermis
Vertical extension of the lesion with minor distortion of lid architecture
Maturation & narrow strand-like extensions suggest pseudocarcinomatous hyperplasia
Thick basement membrane
Papalas et al. “Cutaneous Lupus Erythematosus of the Eyelid as a Mimic of Squamous Epithelial Malignancies” Ophthal Plast Reconstr Surg 2010.
Zedek et al. “Cutaneous Lupus Erythematosis simulating squamous neoplasia: The clinicopathologic conundrum and histopathologic pitfalls” J Am Acad Dermatol 2007; 56: 1013-20.