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KMID : 0360220140550071084
Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 7 p.1084 ~ p.1088
A Case of Intramuscular Muller Muscle Hemangioma of Upper Eyelid Mimicking Sarcoidosis
Kim Hyung-Chul

Ahn Hee-Jung
Lew He-Len
Abstract
Purpose: We report a case of Muller muscle intramuscular hemangioma in the upper eyelid mimicking dacryoadenitis.

Case summary: A 21-year-old male patient presented with a 2-year history of upper eyelid swelling in his right eye and no symptom relief with oral corticosteroid. Increased angiotensin-converting enzyme (ACE) was noted in the laboratory findings. However, lid inflammation was not improved and the patient underwent incisional biopsy.

Conclusions: Microscopically, the lesion was composed of proliferating vessels of various sizes between the individual smooth muscle fibers. Intramuscular hemangioma rarely presenting as a benign tumor in the head and neck region can present as diffuse swelling mimicking sarcoidosis or dacryoadenitis.
KEYWORD
Eyelid, Intramuscular hemangioma, Muller muscle
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