Tuberculosis is a frequent disease in Morocco, palpebral localization remains very rare, often poorly managed because of its polymorphism. We report the case of a 6-year-old patient, without any notable antecedents, who presented repeated chalazions. Following frequent recurrences, despite surgical management, the patient benefited from an exeresis biopsy which confirmed the tuberculosis infection. A general check-up was performed to look for secondary localizations of tuberculosis, specifically a pulmonary localization, which was negative. The patient presented a good response to antibacillary treatment. In the light of this clinical case, we recall the importance of an anatomopathological study, which must be systematic before any excision of tissue material in the treatment of a chalazion with atypical localization or notion of recurrence.
Trad S, Saadoun D, Errera MH, Abad S, Bielefeld P, Terrada C, et al. Tuberculose oculaire. Rev Médecine Interne. Sept 2018 ;39(9): 755 64.
Verma A, Singh A, Kishore K, Pandey M, Kant S. Orbital tuberculosis with involvement of the eyelid: An unusual presentation. Natl Med J India. 2018 ;31(5): 279.
Stora S, Conte M, Chouery E, Richa S, Jalkh N, Gillart A-C, Joannis Gannoune A, Naji A, Eladioui K, Benjelloun A. La tuberculose palpébrale primaire. Rev Stomatol Chir Maxillofac. févr 2009; 110(1): 42 4.
Park J, Kyung S. Unilateral primary tuberculosis presenting as an extratarsal chalazion. Can J Ophthalmol. févr 2017;52(1): e13.
Demirci H, Shields CL, Shields JA, Eagle RC. Ocular tuberculosis masquerading as ocular tumors. Surv Ophthalmol. janv 2004;49(1):78 89.
This work is licensed under a Creative Commons Attribution 4.0 International License.