Bilateral subepidermal calcified nodules of eyelids

Subepidermal calcified nodule, a rare variant of calcinosis cutis, is a benign lesion typically affecting the eyelid in children. We report a 14-year-old boy presenting with bilateral nodules on the upper eyelids. Clinical examination revealed a papule on the right eyelid and a plaque measuring 0.5 × 1 cm on the left, both pearly white, firm, and non-tender. Dermoscopy showed whitish, flocculent areas with linear vessels. Excisional biopsy confirmed dermal calcium deposits with surrounding collagenous fibrosis, establishing the diagnosis. Serum calcium, phosphorus, and parathyroid hormone levels were normal. No recurrence was observed at 6 months. This case highlights the unusual bilateral and symmetrical presentation of eyelid SCNs and the role of dermoscopy in supporting the diagnosis.