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Chronic Localized Fibrosing Vasculitis of the Eyelid
Sheeja S. John, FRCS;
Swetha S. Philip, MS;
Anne J. Premkumar, MD;
Sarada David, MS
Arch Ophthalmol. 2009;127(10):1396-1397.
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Chronic localized fibrosing vasculitis (CLFV) is a rare entity of unknown etiology. To our knowledge, it has never been reported to occur in the eyelid.
Report of a Case
A 42-year-old man had gradually progressive, painless swelling in the left lower eyelid for 2 years. There was no history of systemic illness, drug intake, or insect bite. On examination, there was a nontender, firm, nodular mass in the left lower eyelid (Figure 1). The palpebral conjunctiva appeared normal. There were no features of orbital involvement. Ocular examination did not reveal any abnormalities in either eye, and best-corrected visual acuities were 20/20 OU. Systemic examination results were normal.
Figure appears in full text version.
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Figure 1. Painless, slowly growing mass in the lower eyelid of a 42-year-old, otherwise healthy man. The differential diagnoses considered were lymphoma, pseudotumor, tuberculosis, sarcoidosis, and Wegener granulomatosis.
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Computed tomographic . . . [Full Text of this Article] Comment
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