Sho Katayama, Mitsuhito OtaRead More
A 62-year-old man who required hemodialysis thrice weekly developed an asymptomatic eyelid rash. Two days before presentation he had undergone computed tomography with iodinated contrast. Scheduled hemodialysis was performed 22 hours later. Examination disclosed several firm eyelid nodules, some of which were hemorrhagic (Fig A), and swelling around the meibomian gland orifices (Fig B). Biopsy evinced a dense dermal infiltrate of neutrophils and histiocytes (Fig C). Iododerma, a hypersensitivity reaction to iodine, was diagnosed; impaired renal clearance of iodine is a known risk factor. The patient died of an unrelated disease a few days later. (Magnified version of Fig A- C is available online at www.aaojournal.org).