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Carsten Sand Petersen, MD; Birgit Meinnicke Nurnberg, MD

Arch Dermatol. 1994;130(11):1369-1370.

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

REPORT OF A CASE

A 50-year-old, otherwise healthy man was referred to our clinic with a large hyperkeratotic tumor covering the left upper eyelid (Figure 1, A and B). The lesion had been present for more than a decade, and its size slowly increased. The lesion was cosmetically unacceptable, and, due to the weight of the tumor, our patient could hardly open his eye. Two separate deep biopsy specimens were obtained for histologic examination. Both specimens showed a benign histologic appearance with acanthosis, papillomatosis, and hyperparakeratosis. Koilocytic epidermal cells were present in the middle and upper epidermal layer (Figure 2).

THERAPEUTIC CHALLENGE

Both the plastic surgeon and the ophthalmologist were unwilling to perform surgical excision and grafting due to the risk of cicatricial shrinking of the upper eyelid. Lo

Figure 1.

Hyperkeratotic verruca vulgaris on the upper eyelid before (A and B) and after (C and D) treatment with carbon . . . [Full Text PDF of this Article]

Author Affiliations
Gentofte Hospital, Copenhagen, Denmark

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