LOW-DOSE METHOTREXATE AS AN ADJUNCTIVE THERAPY WITH SURGERY FOR ECTROPION COMPLICATING DERMATOMYOSITIS

We describe the clinical and histopathologic features of a 44-year-old woman who developed bilateral lower eyelid ectropion and upper lid en tropion presumably secondary to dermatomyositis. A variety of inflamma tory, infiltrative and/or scarring dermatoses have been associated wit h ectropion. Chronic inflammation, poikilodermatous change and mucinou s infiltration of the eyelids due to dermatomyositis are the postulate d mechanisms leading to ectropion in our patient. This case is unique in that neither dermatomyositis nor papular mucinosis has previously b een reported as a cause of ectropion. Also interesting was the adjunct ive effect of methotrexate therapy.