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Letter to the Editor
Grotesque bilateral eyelid swelling as a symptom of Munchausen's syndrome
  1. MAARTEN PH MOURITS,
  2. INNA V SASIM
  1. Department of Ophthalmology, University Medical Center Utrecht, Netherlands
  2. Department of Pathology
  1. SEBASTIAAN C J VAN DER PUTTE
  1. Department of Ophthalmology, University Medical Center Utrecht, Netherlands
  2. Department of Pathology
  1. 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

https://doi.org/10.1136/bjo.85.11.1384f

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    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 …

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