Bilateral Eyebrow Sclerosis: A New Clinical Entity

Area of Science:

• Dermatopathology
• Plastic Surgery
• Ophthalmology

Background:

• Facial skin tumors present diverse clinical and histopathological features.
• Recurrent subcutaneous nodules in the eyebrow region are uncommon.
• A unique case necessitated the definition of a new clinical entity.

Observation:

• A male patient presented with sparse eyebrows and recurrent bilateral subcutaneous nodules.
• Histopathology revealed sclerosis of subcutaneous lesions with thickened, hyalinized collagen and dilated capillaries.
• Muscle proliferation and inflammatory cell infiltration were minimal.

Findings:

• The observed condition did not align with any previously documented skin conditions.
• The histopathological findings pointed towards a distinct sclerotic process.
• The proposed new clinical entity is termed bilateral eyebrow sclerosis.

Implications:

• This report introduces bilateral eyebrow sclerosis as a novel clinical entity for dermatologists, pathologists, and plastic surgeons.
• Recognition of this condition can aid in accurate diagnosis and patient counseling.
• Enlarged resection including skin and underlying muscles is suggested as an effective treatment to ensure eyebrow recovery and prevent recurrence.