Periorbital ecchymosis

Authors

  • Albertina Kluver University of the Republic, Montevideo, Uruguay
  • Analía Guerra University of the Republic, Montevideo, Uruguay
  • Daniela Bermúdez University of the Republic, Montevideo, Uruguay
  • Julio Magliano University of the Republic, Montevideo, Uruguay

DOI:

https://doi.org/10.47196/wxzyhk10

Keywords:

periorbital ecchymosis

Abstract

A 90-year-old male patient was hospitalized in the Cardiology ward for pacemaker implantation due to complete atrioventricular block. During his hospitalization, a Dermatology consultation was requested due to the presence of asymptomatic periorbital lesions of 5 years' duration. Physical examination revealed infiltrated erythematous-violaceous plaques on both upper and lower eyelids, with a morphology suggestive of "raccoon eyes" (Photo 1), and macroglossia with indentations on the lateral borders of the tongue (Photo 2).

Author Biographies

  • Albertina Kluver, University of the Republic, Montevideo, Uruguay

    Dermatology Resident, Academic Unit of Dermatology

  • Analía Guerra, University of the Republic, Montevideo, Uruguay

    Dermatologist, Dermatopathologist and Adjunct Professor, Academic Unit of Dermatology

  • Daniela Bermúdez, University of the Republic, Montevideo, Uruguay

    Dermatologist, Medical Surgeon and Assistant, Academic Unit of Dermatology

  • Julio Magliano, University of the Republic, Montevideo, Uruguay

    Dermatologist, Mohs Surgeon and Adjunct Professor, Academic Unit of Dermatology

References

I. Riva E. Diagnóstico de amiloidosis sistémica. Bases hematológicas útiles para el cardiólogo clínico. Rev Urug Cardiol. 2022;37:1304-1310.

II. Gertz M. A. Immunoglobulin light chain amyloidosis: 2024 update on diagnosis, prognosis, and treatment. Am J Hematol. 2024;99:309-324.

III. Sanchorawala V. Systemic light chain amyloidosis. N Engl J Med. 2024;390:2295-2307.

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Published

2026-04-28

Issue

Vol. 32 No. 1 (2026): January-april

Section

What is your Diagnosis?

License

Copyright (c) 2026 on behalf of the authors. Reproduction rights: Argentine Dermatology

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