A Case of Intramuscular Muller Muscle Hemangioma of Upper Eyelid Mimicking Sarcoidosis.

Kim, Hyung Chul; Ahn, Hee Jung; Lew, Helen

doi:2014.55.7.1084

J Korean Ophthalmol Soc > Volume 55(7); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(7):1084-1088.
DOI: https://doi.org/10.3341/jkos.2014.55.7.1084 Published online July 15, 2014.

A Case of Intramuscular Muller Muscle Hemangioma of Upper Eyelid Mimicking Sarcoidosis.

Hyung Chul Kim, Hee Jung Ahn, Helen Lew

¹Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. eye@cha.ac.kr
²Department of Pathology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

사르코이도시스로 오인된 상안검에 발생한 뮬러근육속혈관종 1예

김형철¹⋅안희정²⋅유혜린¹

Department of Ophthalmology, CHA Bundang Medical Center, CHA University¹, Seongnam, Korea Department of Pathology, CHA Bundang Medical Center, CHA University², Seongnam, Korea

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.

Key Words: Eyelid;Intramuscular hemangioma;Muller muscle