A Case of Eyelid Paraffinoma Misdiagnosed as a Chalazion.

Kwon, Jin Young; Han, Ji Sang

doi:2015.56.12.1965

J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(12):1965-1968.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1965 Published online December 15, 2015.

A Case of Eyelid Paraffinoma Misdiagnosed as a Chalazion.

Jin Young Kwon, Ji Sang Han

Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. jhan800@naver.com

콩다래끼로 오인된 눈꺼풀의 파라핀종 1예

권진영⋅한지상

서남대학교 의과대학 명지병원 안과학교실

Received: 17 July 2015 • Revised: 26 August 2015 • Accepted: 22 October 2015

Abstract

PURPOSE
Paraffinoma is a granulomatous reaction to paraffin or oily substances. We report delayed diagnosis of paraffinoma that was misdiagnosed as chalazion. CASE SUMMARY: A 49-year-old male presented with masses, swelling, and erythema in the right lower eyelid, masses and swelling in the right upper eyelid, and intermittent conjunctival injection that had appeared 3 months ago. The patient admitted having received paraffin injection to the right lateral canthal area and nasal bridge for cosmetic purposes by non-medical personnel 17 years prior to presentation. The mass showed partial response to intralesional triamcinolone injection but did not respond to systemic steroid. CONCLUSIONS: Paraffinoma can present diagnostic confusion given its protracted latency period and discordance of injection area and mass location. Detailed history taking is required and the possibility of paraffinoma should be considered for mass lesions of the eyelid.

Key Words: Chalazion;Paraffin;Paraffinoma;Steroid