We present a case of a woman with a swollen upper eyelid in ptosis, conjunctival nodules, and chemosis present for a couple of weeks. She did not respond to therapy for hordeolum or allergy. A biopsy followed by histopathological examination showed a large infiltration of eosinophilic granulocytes and flame figures, so the diagnosis of Wells syndrome was made. Oral methylprednisolone in high dose was necessary, and tapering was slow because of frequent bouts of relapse. After 3 months, the swelling and hard feeling of the eyelid disappeared, but a slight ptosis remained. Eyelid swelling and eosinophilia recurred 18 months after resolution of the first episode.
Ocul Oncol Pathol

中文翻译：

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Wells 综合征是单侧上睑下垂的罕见原因

我们报告了一例上睑下垂、结膜结节和水肿持续数周的女性上眼睑肿胀。她对麦粒肿或过敏的治疗没有反应。活检和组织病理学检查显示大量嗜酸性粒细胞浸润和火焰图，因此诊断为 Wells 综合征。需要大剂量口服甲基强的松龙，由于频繁复发，逐渐减量缓慢。3个月后，眼睑肿胀、发硬的感觉消失，但仍有轻微的上睑下垂。第一次发作消退 18 个月后，眼睑肿胀和嗜酸性粒细胞增多症复发。
眼肿瘤病理