Idiopathic inflammatory pseudotumor of the eyelid
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A 40-year-old male presented with swelling and erythema in his right upper eyelid that began 4 months prior. Clinical evaluation, rheumatologic serology, sedimentation rate of erythrocyte, and C-reactive protein results were all normal. The patient also did not respond to local and systemic antibiotic therapy. Incisional biopsy revealed a pseudotumor. Oral prednisolone was initiated, and the drug dose was slowly tapered according to the patient's clinical response. After 6 months of follow-up, the eyelid lesion disappeared entirely. © 2010 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.