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Persistent painless eyelid swelling in an infant
  1. Takashi Tagaya1,
  2. Yoko Shioda2,
  3. Yoshiyuki Tsutsumi3,
  4. Takako Yoshioka4
  1. 1 Department of Emergency and Transport Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
  2. 2 Children's Cancer Center, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
  3. 3 Department of Radiology, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
  4. 4 Department of Pathology, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
  1. Correspondence to Dr Takashi Tagaya; tagaya-t{at}ncchd.go.jp

https://doi.org/10.1136/archdischild-2023-326476

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    A previously healthy 10-month-old boy presented to the emergency department with a 1-week history of progressive swelling of the right upper eyelid (figure 1). He had a recent history of respiratory tract infection but no history of fever, insect bites or trauma. He was alert in good general condition, and the urine output was maintained. No weight loss was observed. Physical examination revealed erythema, oedema and ptosis of the right upper eyelid without warmth or tenderness. No other rashes were present on the skin including the scalp. Ocular motility disorders, displacement and protrusion were not observed. Otitis media and otitis externa were also not detected. There was no evidence of hepatosplenomegaly or generalised lymph node enlargement. The haematological and biochemical test results were normal. Contrast-enhanced CT of the head revealed bone defect and soft tissue swelling of the right superior orbital rim (figure 2A). Additionally, multiple skull bone defects and bilateral otitis media were observed. Chest radiography revealed an …

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    Footnotes

    • Contributors TT coordinated and wrote the initial manuscript. YS reviewed and revised the manuscript from the paediatric oncologist’s viewpoint. YT selected the radiological images, reviewed and revised the manuscript from a paediatric radiologist’s perspective. TY selected histological images, reviewed and revised the manuscript from a pathologist’s perspective. All authors approved the final manuscript and are accountable for this.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.