Journal of Pediatric Ophthalmology and Strabismus

Whats Your Diagnosis 

I Have a Bump

Namratha Turlapati, MD

Abstract

A 4-year-old boy presented with a bump on his right upper eyelid, which had been present for 4 months. His mother stated that the bump became larger and swollen. His pediatrician prescribed oral cephalexin. The lesion decreased in size, but it never completely resolved. His mother also used topical mupirocin without any improvement. On examination, a localized, superficial, firm, non-tender, and mobile mass with mild erythema with a pustular appearance measuring 1.0 × 0.5 cm was found in the right upper eyelid (Figure 1). The child was afebrile without any significant physical findings. The mass was excised with careful dissection and without rupture. The intraoperative specimen was a flesh-colored, semi-firm mass measuring 0.7 × 0.7 × 0.4 cm. No further recurrence or signs of pathology were noted at his 6-month follow-up examination.

What's Your Diagnosis?

For the correct answer, see page 311.

The answer for What's Your Diagnosis? is pilomatrixoma.…

A 4-year-old boy presented with a bump on his right upper eyelid, which had been present for 4 months. His mother stated that the bump became larger and swollen. His pediatrician prescribed oral cephalexin. The lesion decreased in size, but it never completely resolved. His mother also used topical mupirocin without any improvement. On examination, a localized, superficial, firm, non-tender, and mobile mass with mild erythema with a pustular appearance measuring 1.0 × 0.5 cm was found in the right upper eyelid (Figure 1). The child was afebrile without any significant physical findings. The mass was excised with careful dissection and without rupture. The intraoperative specimen was a flesh-colored, semi-firm mass measuring 0.7 × 0.7 × 0.4 cm. No further recurrence or signs of pathology were noted at his 6-month follow-up examination.

What's Your Diagnosis?

For the correct answer, see page 311.

The answer for What's Your Diagnosis? is pilomatrixoma.

References

  1. Jones CD, Ho W, Robertson BF, Gunn E, Morley S. Pilomatrixoma: a comprehensive review of the literature. Am J Dermatopathol. 2018;40:631–641. doi:10.1097/DAD.0000000000001118 [CrossRef]
  2. Zloto O, Fabian ID, Dai VV, Ben Simon GJ, Rosner M. Periocular pilomatrixoma: a retrospective analysis of 16 cases. Ophthalmic Plast Reconstr Surg. 2015;31:19–22. doi:10.1097/IOP.0000000000000164 [CrossRef]
  3. Lan MY, Lan MC, Ho CY., Li WY, Lin CZ. Pilomatricoma of the head and neck: a retrospective review of 179 cases. Arch Otolaryngol Head Neck Surg. 2003;129:1327–1330. doi:10.1001/archotol.129.12.1327 [CrossRef]
Authors

From the Department of Ophthalmology, MedStar Georgetown University Hospital, Washington, DC.

The author has no financial or proprietary interest in the materials presented herein.

Correspondence: Namratha Turlapati, MD, Department of Ophthalmology, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Pasquerilla Healthcare Center, Lower Level, Washington, DC 20007. E-mail: namratha.turlapati@medstar.net

10.3928/01913913-20180830-02

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