A Case of Granulomatous Blepharitis in a Pregnant Woman

Key Points

• To document a case of granulomatous blepharitis in a pregnant woman and discuss treatment options.
• A 26-year-old pregnant woman, diagnosed at 28 weeks, was referred for persistent eyelid swelling after prior treatments failed.
• Skin biopsy confirmed the diagnosis of granulomatous blepharitis; 7 local injections of triamcinolone acetonide were administered.
• Continuous monitoring and evaluation were conducted over a six-month treatment period.
• The patient showed significant improvement after six months of treatment with triamcinolone acetonide.
• Biopsy confirmed the presence of epithelioid cell granulomas, characterizing the condition.
• Standard oral medications like tranilast and minocycline were not used due to the patient's pregnancy.