Eyelid Sarcoidosis Lesion in Abuja, Nigeria

We report a case of sarcoidosis involving the eyelid in a Nigerian setting. Lid masses are sometimes overlooked by patients and attending physicians. This report is on a 47-year-old Ghanaian male who presented to private eye clinic in Abuja, Nigeria. He had multiple eyelid lesions, skin lesions on his scalp, back of his ear and neck. He had a history of coughing and wheezing. Histopathology of skin biopsy confirmed that they were sarcoid lesion. Chest X-ray showed hilar lymphadenopathy. He was placed on tablets prednisolone 20 mg daily for 8 weeks. The symptoms abated and have not reoccurred 3 years posttreatment. In conclusion, atypical eyelid lesions with pulmonary involvement should be biopsied and sent for histopathology. Systemic steroids are effective in treating lid involvement of sarcoidosis. The management of sarcoidosis requires a multidisciplinary approach between the physician, dermatologist, and ophthalmologist.