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Johanna M. Kuchel, PhD; Jonathan C. Bowling, MRCP
The Churchill Hospital, Oxford, England

Arch Dermatol. 2006;142:1351-1356.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 58-year-old woman presented with a 6-month history of swelling under the lower eyelids. The lesions, which had started as a row of firm, subcutaneous mobile masses, increased in number and size, coalesced, and became adherent to the deeper tissues. The masses eventually caused partial visual obstruction. The patient had undergone a mastectomy 24 months earlier for estrogen and progesterone receptor–positive invasive lobular breast carcinoma and had begun anastrozole therapy. She was also being treated for hypertension, hypercholesterolemia, and type 2 diabetes mellitus.

Physical examination showed firm, nontender, protruding, coalescing, dome-shaped, subcutaneous 10-mm lesions on the lower eyelids (Figure 1 [arrows indicate involved area]). The masses were not attached to the skin but were adherent to deeper tissue and limited by the bony orbital rim. The overlying skin appeared normal. There was no obvious bulb deviation and diplopia was absent.

Figure appears in full text version. Figure . . . [Full Text of this Article]

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Arch Dermatol. 2006;142(10):1351-1356.
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