Question

A 43-year old woman is seen at your office concerned about the fact that she constantly seems to have styes on her eyelids and her eyes are continually red and irritated. Biomicroscopy reveals meibomitis and blepharitis along with lid telangiectasia and a TBUT of 4 seconds for each eye. She also reports that her cheeks, nose, forehead and chin are easily flushed, especially when exposed to heat or cool temperatures. Given the above findings, what is your tentative diagnosis?

-Dry eye syndrome
-Hordeolum Rosacea
-Systemic lupus erythematosus

Answer 1

The tentative diagnosis for the patient is Rosacea, based on the symptoms and findings described.

Step-by-step explanation:

Based on the symptoms and findings described, the tentative diagnosis for the patient is Rosacea. Rosacea is a chronic inflammatory skin condition that primarily affects the face, causing redness and flushing. It can also result in meibomitis and blepharitis, which are inflammation of the eyelid glands and the eyelids themselves, respectively. The presence of telangiectasia (enlarged blood vessels) and a low tear film break-up time (TBUT) further support the diagnosis of Rosacea.

It is important for the patient to seek further evaluation and management from a healthcare professional, such as a dermatologist or ophthalmologist, to confirm the diagnosis and discuss appropriate treatment options.