Allergic disorders of the eyelid.

Ashley M Hine, Reid A Waldman, Andrzej Grzybowski, Jane M Grant-Kels

Clinics in dermatology 2023 Jul-Aug

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Eyelid dermatitis may present with a variety of clinical findings including erythema, pruritus, and edema, and it has a wide differential. Allergic contact dermatitis due to allergen sources in personal care products, cosmetics, and fragrances is a leading cause of eyelid dermatitis and may be challenging to diagnose by clinical examination alone. Expanded patch testing, in addition to careful inspection of the surrounding skin for additional areas of involvement and clinical clues, remains an important tool in differentiating allergic contact dermatitis from other relevant etiologies of eyelid dermatitis including irritant contact dermatitis, atopic dermatitis, seborrheic dermatitis, and rosacea. We present a practical approach to the management of eyelid dermatitis including the use of a topical anti-inflammatory for long-term control of eyelid findings. Further diagnostic workup may be warranted in patients with refractory eyelid dermatitis. Copyright © 2023 Elsevier Inc. All rights reserved.

Citation

Ashley M Hine, Reid A Waldman, Andrzej Grzybowski, Jane M Grant-Kels. Allergic disorders of the eyelid. Clinics in dermatology. 2023 Jul-Aug;41(4):476-480