Michel J. Belliveau, MD, FRCSC, Baruch D

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Presentation transcript:

Necrotizing Eyelid Inflammation Heralding Granulomatosis with Polyangiitis Michel J. Belliveau, MD, FRCSC, Baruch D. Jakubovic, MD, Dharini Mahendira, MD, FRCPC, Henry R. Jakubovic, MD, FRCPC, Navdeep Nijhawan, MD, FRCSC The American Journal of Medicine Volume 129, Issue 2, Pages e7-e8 (February 2016) DOI: 10.1016/j.amjmed.2015.08.031 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 Severely inflamed right upper eyelid with purulent discharge. There is loss of the distal portion of the anterior lamella beyond the eyelid crease over the length of the eyelid, with sparing of the eyelashes and margin. Full-thickness upper eyelid loss is seen in the temporal third. The wound edge is undermined and has an elevated violaceous border. The American Journal of Medicine 2016 129, e7-e8DOI: (10.1016/j.amjmed.2015.08.031) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Light microscopic image of the superficial dermis showing a mixed inflammatory infiltrate with abundant histiocytes and a neutrophilic collection in a focus of necrosis (hematoxylin-eosin, original magnification ×200). The American Journal of Medicine 2016 129, e7-e8DOI: (10.1016/j.amjmed.2015.08.031) Copyright © 2016 Elsevier Inc. Terms and Conditions