[Primary palpebral tuberculosis].

Area of Science:

• Ophthalmology
• Infectious Diseases
• Dermatology

Background:

• Isolated eyelid tuberculosis is an exceptionally rare condition.
• Clinical polymorphism often leads to delayed diagnosis of eyelid tuberculosis.

Observation:

• A 36-year-old male nurse presented with a lower-eyelid nodule.
• Initial treatments were ineffective, necessitating lesion-exeresis biopsy.
• The biopsy confirmed tuberculosis as the diagnosis.

Findings:

• The patient had no other identifiable tuberculosis foci during follow-up.
• The patient showed good clinical evolution with antitubercular treatment.
• This case highlights a rare instance of primary eyelid tuberculosis.

Implications:

• Eyelid tuberculosis, though rare, requires prompt diagnosis and appropriate treatment.
• Unlike common presentations, this case suggests a primary eyelid infection rather than secondary to pulmonary tuberculosis.
• Understanding potential routes of eyelid contamination, such as hematogenous spread or trauma, is important for clinical suspicion.