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       XXVII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هفتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: A review on Pachydermoperiostosis
Author(s): Seyed Ali Tabatabaei, Ahmad Masoomi,Mohammad Soleimani, Mohsen Rafizadeh
Presentation Type: Oral
Subject: Ophthalmic Plastic and Reconstructive Surgery
Others:
Presenting Author:
Name: Ali Tabatabaei
Affiliation :(optional) Farabi Eye Hospital
E mail: alitabatabaei77@yahoo.com
Phone:
Mobile: 09121063062
Purpose:

To introduce common features of Pachydermoperiostosis.

Methods:

A 32-year-old man was referred to our clinic for bilateral eyelid swelling and blepharoptosis. On examination, marked blepharoptosis was noted and his eyelids were found to be floppy. Systemic examination was significant for clubbing of digits, coarse acromegalic facial features, and furrowing and oiliness of the skin of scalp and forehead.

Results:

The patient was diagnosed with pachydermoperiostosis. On brain MRI, the pituitary gland was enlarged and the border of clivus was irregular. Pituitary and thyroid hormone levels were normal. He underwent bilateral lateral tarsal strip procedure to address the eyelid laxity. Histopathologic examination revealed marked sebaceous gland hyperplasia with mucin deposition in the dermis.

Conclusion:

Floppy eyelid syndrome, clubbing, acromegaloid face are common features of Pachydermoperiostosis, necessitating neuroimaging.

Attachment:





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