Grotesque bilateral eyelid swelling as a symptom of Munchausen's syndrome
- Department of Ophthalmology, University Medical Center Utrecht, Netherlands
- Department of Pathology
- Accepted 16 April 2001
- Department of Ophthalmology, University Medical Center Utrecht, Netherlands
- Department of Pathology
- Dr Maarten Ph Mourits, Orbital Unit, Department of Ophthalmology, University Medical Center Utrecht, POBox 85500, 3508 GA Utrecht, Netherlands M.P.Mourits{at}oogh.azu.nl
- Accepted 16 April 2001
Editor,—Eyelid swelling can be diffuse or solid, acute or chronic, isolated or part of a syndrome. The differential diagnosis of solid, chronic, and isolated eyelid swelling comprises tumours of multiple origin. We report a case of eyelid swelling which was caused by automutilation as part of Munchausen's syndrome.
CASE REPORT
A 44 year old white woman presented with bilateral lower eyelid swelling that had been present for 6 months, which made reading impossible (Fig 1). In the past she had undergone several paranasal sinus operations and 3 years earlier she had been treated for a preseptal orbital cellulitis …
