Mrs. S. T. B., aged 29, an American housewife, was referred to me because of a severe dermatitis of the right upper eyelid of six weeks' duration and a milder inflammatory involvement of the left upper eyelid of a few days' duration.
The swelling and redness were so marked on the right upper lid that the patient was unable to open her eye. The involvement of the left upper eyelid was sharply outlined, covering about one third of the lid area, with a fine erythema and a shiny somewhat tense skin surface.
The itching, burning and discomfort were very marked.
The outstanding features of her history were as follows:
This was her first attack.
The condition was always much worse in the morning.
She sleeps on her right side, burying her face in a bolster.
There was nothing new in her home or in her bedroom.
She does not use