The American Society of Dermatopathology

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Interactive Case Study - November 2020

Painless unilateral eyelid swelling

Ashley Elsensohn MD MPH; Christine Schleich MD; Tammie C Ferringer MD

Question 1:

A 58-year-old male presented with a history of painless right upper eyelid swelling. Please see Figures 1-6 of subsequent cutaneous papules that developed on the ipsilateral neck. 

Click on the image below to view the virtual slide.

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

What is the best diagnosis?