'Black eyelid

A 22-year-old woman presented with blackish discolouration over the left upper eyelid for the past 6 weeks. Initially, the lesions presented as reddish discolouration of the left upper eyelid and later developed into a hyperpigmented macule. She presented to the dermatology out patient department because of increase in size and burning sensation for the past 3 days. A day prior to the onset of the lesion, she had been prescribed oral cotrimoxazole for the treatment of an upper respiratory tract infection by a general physician. She had history of similar lesions occurring over the same site previously on taking cotrimoxazole. On examination, a well-defined hyperpigmented macule was found to involve the entire left upper eyelid region (figure 1). Her ophthalmological examination was within normal limits. Based on the history and the clinical findings, a diagnosis of fixed drug eruption (FDE) to cotrimoxazole confining to the eyelid region was made....
Source: Postgraduate Medical Journal - Category: General Medicine Authors: Tags: Images Source Type: research