We describe a male patient with rosacea who had a 2-year history of persistent bilateral oedema of the eyelids, leading to an elephantoid condition with blepharoptosis. An upper eyelid blepharoplasty was performed, but swelling progressively recurred over a few months. Based on the case history, clinical appearance and histological findings, rosaceous lymphoedema was considered to be the diagnosis. The latter is a bilateral, solid oedema of the mid-third of the face, regarded as a rare complication of rosacea. It is thought to occur as a result of chronic inflammation and lymphatic stasis, but its exact aethiopathogenesis remains elusive. Predominant eyelid involvement, causing severe visual impairment as in our patient, is unique.
|Titolo:||Elephantoid oedema of the eyelids|
ALESSI, ELVIO GIUSEPPE ANGELO (Ultimo)
|Parole Chiave:||blepharochalasis, ocular rosacea, periorbital oedema, rosaceous lymphoedema|
|Settore Scientifico Disciplinare:||Settore MED/35 - Malattie Cutanee e Veneree|
|Data di pubblicazione:||2004|
|Digital Object Identifier (DOI):||10.1111/j.1468-3083.2004.00941.x|
|Appare nelle tipologie:||01 - Articolo su periodico|