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Updated: Sep 30, 2025

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Orange palpebral spots: A case presentation.

Mahaveer S Sangha1, Hazem Ah Ibrahim2, Rhonda Meys2

  • 1University College London Medical School, London, UK.

SAGE Open Medical Case Reports
|March 11, 2022
PubMed
Summary
This summary is machine-generated.

This study reports the first case of orange palpebral spots in the UK, a rare eyelid condition. The findings suggest a potential link between sun exposure and the development of these spots.

Keywords:
Orangelipofuscinorange palpebral maculesorange palpebral spotsperiocularsolar elastosissun damage

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Pathology

Background:

  • Orange palpebral spots are rare, bilateral, orange-yellow macules on the superior eyelids, typically seen in Caucasian populations.
  • Previous research linked them to melatonin incontinence, lipofuscin, and specific vitamin/carotenoid levels.

Observation:

  • A 59-year-old male in the UK presented with a nasal lesion, and bilateral orange-yellow eyelid discoloration was incidentally noted during Mohs surgery.
  • The patient had a history of atopy, significant sun exposure, cataracts, and retinal detachment, but no unusual dietary intake of pigments.

Findings:

  • Skin biopsy confirmed orange palpebral spots, showing epidermal thinning, superficial mature fat cells, minimal pigment incontinence, and solar elastosis.
  • Histological findings suggest a potential role for sun exposure in the pathogenesis of this condition.

Implications:

  • This case expands the known geographical distribution of orange palpebral spots.
  • Further research is needed to elucidate the pathogenesis, with sun exposure identified as a potential contributing factor.