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Isolated eyelid milia presenting as systemic sarcoidosis
Carson Clabeaux1, Mary C Casey2, Jared Heller3
1Ophthalmology, Madigan Army Medical Center, Tacoma, Washington, USA carson.e.clabeaux.mil@health.mil.
BMJ Case Reports
|April 3, 2025
Summary
This case report details a rare instance of sarcoidosis presenting solely as eyelid milia. Early recognition of such atypical ocular manifestations is crucial for prompt diagnosis and management of systemic sarcoidosis.
Area of Science:
- Ophthalmology
- Dermatology
- Rheumatology
Background:
- Sarcoidosis is a multisystem granulomatous disease with diverse clinical manifestations.
- Ocular involvement in sarcoidosis is frequent, but isolated eyelid milia is an unreported presentation.
Purpose of the Study:
- To report a unique case of systemic sarcoidosis presenting exclusively with eyelid milia.
- To emphasize the significance of recognizing atypical sarcoidosis presentations.
Main Methods:
- Case report of a patient with isolated eyelid milia.
- Diagnostic investigations for systemic sarcoidosis.
Main Results:
- The patient's eyelid milia were the only ocular finding.
- Systemic sarcoidosis was confirmed as the underlying cause.
Conclusions:
- Eyelid milia can be an isolated ocular manifestation of systemic sarcoidosis.
- Timely diagnosis and management of atypical sarcoidosis presentations are vital to prevent complications.
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