Is chalazion common in Systemic Lupus Erythematosus (SLE)?

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From the Research

Chalazion is not commonly associated with Systemic Lupus Erythematosus (SLE). A chalazion is a small, typically painless bump that forms on the eyelid due to a blocked meibomian gland, which is an oil-producing gland in the eyelid. While lupus patients may experience various ocular manifestations such as dry eyes, uveitis, retinopathy, and eyelid rashes, chalazion is not specifically linked to lupus, as noted in recent studies 1, 2. Chalazions are generally caused by blockage of the meibomian glands due to thickened secretions, bacterial infection, or inflammatory conditions affecting the eyelids like blepharitis. Some studies suggest that subclinical hypothyroidism may predispose to recurrent chalazia 3, but there is no direct link established between chalazion and SLE. If you have lupus and develop a chalazion, it's likely coincidental rather than directly caused by lupus. Treatment for chalazion typically involves warm compresses applied to the affected eyelid for 10-15 minutes several times daily, gentle massage of the area, good eyelid hygiene, and sometimes antibiotic ointments if infection is present, as discussed in recent reviews 1, 2. Persistent chalazions may require surgical drainage by an ophthalmologist. Key considerations in managing SLE include the use of hydroxychloroquine and glucocorticoids, with careful balancing of risks and benefits 4. If you have lupus and experience recurring chalazions or other eye symptoms, it's essential to consult with your rheumatologist and an ophthalmologist to ensure proper management of both conditions, considering the potential for differential diagnoses like hordeolum and the importance of excluding malignant tumors in atypical cases 5.

References

Research

The lowly chalazion.

Survey of ophthalmology, 2023

Research

[Hordeolum and chalazion : (Differential) diagnosis and treatment].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2022

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