Granuloma Annulare: A Rare and Unusual Lesion of the Eyelid

Abstract

Granuloma annulare (GA) is common in children, but the eyelids are not a common site of involvement. Due to the infrequent association of eyelid lesions with GA, patients are unable to receive early and effective treatment. Our eleven-year-old female patient presented with the complaint of a painless mass on the right upper eyelid that did not respond to the topical drugs prescribed in clinics. An incisional biopsy was performed to diagnose the patient with an unusual subcutaneous raised lesion on the eyelid. The histopathological result was consistent with immunohistochemical staining and granuloma annulare showing CD68 positivity. Intralesional steroid injection was performed because the lesion caused the patient cosmetic problems. The lesion began to regress significantly in the first week and did not recur. The atypical location of the GA lesions in the eyelid seen at a young age should be kept in mind and treated effectively.