Document Detail

Rosacea lymphoedema of the eyelid.
MedLine Citation:
PMID:  15606479     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To present a patient with rosacea lymphoedema of one upper eyelid resulting in unilateral complete ptosis. METHODS: A 51-year-old white man presented with a 12-month history of progressive painless swelling of the left upper eyelid. An incisional biopsy of the upper eyelid was performed. RESULTS: The biopsy showed dermal oedema with lymphangiectasia and telangiectasia, accompanied by a mild to moderate mixed chronic inflammatory infiltrate of lymphocytes, histiocytes, plasma cells and rare eosinophils. Stains for fungi and mycobacteria were negative. The lack of lichenoid reaction, dermal mucin or lip swelling indicated a lymphoedematous manifestation of rosacea. The patient was treated with minocycline and prednisolone with no effect. CONCLUSION: Rosacea lymphoedema involving the eyelid, as in our case, is a rare complication and can present diagnostic and therapeutic challenges to the ophthalmologist.
Tze Foon Lai; Igal Leibovitch; Craig James; Shyamala C Huilgol; Dinesh Selva
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta ophthalmologica Scandinavica     Volume:  82     ISSN:  1395-3907     ISO Abbreviation:  Acta Ophthalmol Scand     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-20     Completed Date:  2005-02-28     Revised Date:  2008-03-17    
Medline Journal Info:
Nlm Unique ID:  9507578     Medline TA:  Acta Ophthalmol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  765-7     Citation Subset:  IM    
Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Blepharoptosis / diagnosis,  drug therapy,  etiology
Drug Therapy, Combination
Eyelid Diseases / complications*,  diagnosis,  drug therapy
Glucocorticoids / therapeutic use
Lymphedema / complications*,  diagnosis,  drug therapy
Middle Aged
Minocycline / therapeutic use
Prednisolone / therapeutic use
Rosacea / complications*,  diagnosis,  drug therapy
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Glucocorticoids; 10118-90-8/Minocycline; 50-24-8/Prednisolone

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