Subcutaneous Fat Necrosis of the Lower Eyelid Associated with Anemia.

Lim, Ji Won; Kim, Yun Jeong

doi:2008.49.3.499

J Korean Ophthalmol Soc > Volume 49(3); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(3):499-502.
DOI: https://doi.org/10.3341/jkos.2008.49.3.499 Published online March 31, 2008.

Subcutaneous Fat Necrosis of the Lower Eyelid Associated with Anemia.

Ji Won Lim, Yun Jeong Kim

Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi, Korea. bonamd@hallym.or.kr

빈혈과 연관되어 발생한 하안검 피하지방괴사

임지원·김윤정

Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi, Korea

Correspondence: Ji Won Lim, M.D.

Abstract

PURPOSE
Subcutaneous fat necrosis is rare. To our knowledge, there is no report of subcutaneous fat necrosis on the lower eyelid. We report a case of subcutaneous fat necrosis of the lower eyelid related to anemia. CASE SUMMARY: A 52-year-old female patient presented with palpable masses in both lower eyelids that had persisted for the past year. The thin, shallow, plaque-like mass with a well-demarcated border was palpated on the subcutaneous tissue of both lower eyelids. There was no tenderness or signs of inflammation. histopathologically, there were variously sized fat vacuoles with mild cellular infiltration. The mass was determined to be caused by subcutaneous fat necrosis. The patient had no unusual past history except a total gastrectomy 2 years previously. We performed a blood test and detected chronic anemia. CONCLUSIONS: We report a case of chronic subcutaneous fat necrosis related to anemia. When clinicians detect the subcutaneous fat necrosis, a work-up on hematological factors affecting lipid metabolism should be performed.

Key Words: Anemia;Eyelid;Subcutaneous fat necrosis