Contact dermatitis caused by allergy to eye make-up

Her erythematous, scaly, lichenified eyelids were due to contact dermatitis caused by allergy to the eye make-up she had been using.

Atopic eczema could produce a rash on the eyelids like this, but not in isolation. Look in particular for a history of atopy and involvement of the limb flexures when considering this diagnosis.

Systemic lupus erythematosus characteristically causes a photosensitive rash, which would spare the upper eyelid and not affect it.