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A Case of Intramuscular Muller Muscle Hemangioma of Upper Eyelid Mimicking Sarcoidosis

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±èÇüö(Kim Hyung-Chul) - Â÷ÀǰúÇдëÇб³ ÀÇÇÐÀü¹®´ëÇпø ºÐ´çÂ÷º´¿ø ¾È°úÇб³½Ç
¾ÈÈñÁ¤(Ahn Hee-Jung) - Â÷ÀǰúÇдëÇб³ ÀÇÇÐÀü¹®´ëÇпø ºÐ´çÂ÷º´¿ø º´¸®Çб³½Ç
À¯Çý¸°(Lew He-Len) - Â÷ÀǰúÇдëÇб³ ÀÇÇÐÀü¹®´ëÇпø ºÐ´çÂ÷º´¿ø ¾È°úÇб³½Ç

Abstract

Purpose: We report a case of Muller muscle intramuscular hemangioma in the upper eyelid mimicking dacryoadenitis.

Case summary: A 21-year-old male patient presented with a 2-year history of upper eyelid swelling in his right eye and no symptom relief with oral corticosteroid. Increased angiotensin-converting enzyme (ACE) was noted in the laboratory findings. However, lid inflammation was not improved and the patient underwent incisional biopsy.

Conclusions: Microscopically, the lesion was composed of proliferating vessels of various sizes between the individual smooth muscle fibers. Intramuscular hemangioma rarely presenting as a benign tumor in the head and neck region can present as diffuse swelling mimicking sarcoidosis or dacryoadenitis.

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Eyelid, Intramuscular hemangioma, Muller muscle
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DOI
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ICD 03
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