Velvety plaques and skin tags were noted near the right eye of a black woman aged 65 years. The area did not itch, burn, or hurt, and the patient did not know how long the skin had been like this. She was taking hydrochlorothiazide for hypertension and metformin for type 2 diabetes. When it was explained that removal of the tags was a cosmetic procedure, the patient declined this procedure. She was sent back to primary care for a full exam.
A boy aged 8 years with a family history of atopy presented with eyelid dermatitis. The boy’s mother was concerned and reported that the child rubbing his itchy eyelids at night had caused the rash. No treatment had been tried at the time of the visit. The patient was given a prescription for pimecrolimus (Elidel) cream 1%, instructed to use ice packs on his eyelids at night, and referred to an allergist for further treatment.