Case history
Case history
A 65-year-old man presents with bilateral ocular itching, burning, and foreign body sensation, as well as crusting of his eyelids in the morning for the past several months. He also notes that his eyes are often red and feel dry. Physical exam demonstrates facial pustules, facial redness, and telangiectasia. Slit lamp exam shows lid collarettes, telangiectasia, and capped meibomian glands.
Other presentations
In severe disease, corneal changes can occur leading to reduced vision. Flaking and greasy skin on the scalp, retroauricular area, glabella, and nasolabial folds is typical with associated seborrheic dermatitis.
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