• Wassim Hmaied, Raoudha Baccouri, Walid Zbiba, Heykel Kamoun, M Habib Bouhaouala, and Lamia El Fekih.
• Service d'Ophtalmologie, Hôpital des F.S.I la Morsa.
• Tunis Med. 2004 Aug 1; 82 (8): 791-5.

IntroductionThe Lofgren syndrom is a particular variety of sarcoidose. The ocular attack is dominated in this syndrome by anterior uveitis. More rarely the eyelids and the orbitary structures are attached.PurposeIn this work, we report a Lofgren syndrome case revealed by eyelid tumor.ObservationIt is about 42 year-old patient who consults for a right inferior eye-lid tumefaction developped for 2 months. The diagnosis of Lofgren syndrome was evoqued because of the association of fever, arthritis, erythema nodosum, tuberculin anergia, hypercalcinuria and mediastinal adenopathy at thoracic scan-tomography. The diagnosis was then confirmed by biopsy of palpebral tumor which showed multiple epithelioid and gigantocellular granuloma without caseous necrosis.ConclusionThe Lofgren syndrome is a multivisceral chronic affection. The eye and its annexes constitute frequent cibles of this affection for which they react by a diverse and rich symptomalogy and which can be presented by eye-lid tumors with orbital extension.

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