Chronic eyelid lymphedema and acne rosacea
Identifieur interne : 002397 ( Istex/Corpus ); précédent : 002396; suivant : 002398Chronic eyelid lymphedema and acne rosacea
Auteurs : Francesco P. Bernardini ; Robert C. Kersten ; Lucie M. Khouri ; Muhammad Moin ; Dwight R. Kulwin ; Diya F. MutasimSource :
- Ophthalmology [ 0161-6420 ] ; 2000.
Abstract
Objective The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.Design Two interventional case reports.Methods and intervention The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.Results Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.Conclusions To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.
Url:
DOI: 10.1016/S0161-6420(00)00429-2
Links to Exploration step
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<front><div type="abstract" xml:lang="en">Objective The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.Design Two interventional case reports.Methods and intervention The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.Results Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.Conclusions To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.</div>
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<abstract>Objective The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.Design Two interventional case reports.Methods and intervention The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.Results Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.Conclusions To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.</abstract>
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<note type="content">Figure 1: Chronic lymphedema affecting both lower eyelids and left upper eyelid. The figure shows marked erythema of the involved eyelids and scattered teleangectasias of upper cheeks.</note>
<note type="content">Figure 2: Histologic examination of the excision specimen from patient 1 reveals dilated lymphatic channels and lymphocytic infiltrate (arrow; stain, hematoxylin–eosin; original magnification ×100).</note>
<note type="content">Figure 3: Chronic lymphedema affecting the right lower eyelid. The figure shows marked erythema and teleangectasias of the skin overlying eyelids and upper cheeks.</note>
<note type="content">Figure 4: Patient 1 after debulking and horizontal tightening (3 weeks after surgery).</note>
<note type="content">Figure 5: Patient 2 after debulking and horizontal tightening (2 weeks after surgery).</note>
<note type="content">Table 1: Differential Diagnosis of Chronic Facial Edema legend</note>
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<abstract xml:lang="en"><p>Objective The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.Design Two interventional case reports.Methods and intervention The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.Results Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.Conclusions To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.</p>
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<ce:text>Reprints requests to Robert C. Kersten, MD, The University of Cincinnati Medical Center, The Barrett Center, P.O. Box 670670, Cincinnati, OH 45267-0670</ce:text>
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<ce:date-received day="10" month="11" year="1999"></ce:date-received>
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<ce:miscellaneous>Manuscript no. 99748.</ce:miscellaneous>
<ce:abstract><ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec><ce:section-title>Objective</ce:section-title>
<ce:simple-para>The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Design</ce:section-title>
<ce:simple-para>Two interventional case reports.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Methods and intervention</ce:section-title>
<ce:simple-para>The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Results</ce:section-title>
<ce:simple-para>Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Conclusions</ce:section-title>
<ce:simple-para>To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
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<mods version="3.6"><titleInfo lang="en"><title>Chronic eyelid lymphedema and acne rosacea</title>
<subTitle>Report of two cases</subTitle>
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<titleInfo type="alternative" lang="en" contentType="CDATA"><title>Chronic eyelid lymphedema and acne rosacea</title>
<subTitle>Report of two cases</subTitle>
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<name type="personal"><namePart type="given">Francesco P</namePart>
<namePart type="family">Bernardini</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Ophthalmology Clinic, S. Martino Hospital, University of Genova School of Medicine, Genova, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">Robert C</namePart>
<namePart type="family">Kersten</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>The Barrett Center, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</affiliation>
<description>Reprints requests to Robert C. Kersten, MD, The University of Cincinnati Medical Center, The Barrett Center, P.O. Box 670670, Cincinnati, OH 45267-0670</description>
<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">Lucie M</namePart>
<namePart type="family">Khouri</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>The Barrett Center, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Muhammad</namePart>
<namePart type="family">Moin</namePart>
<description>FRCOphth</description>
<affiliation>The Barrett Center, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Dwight R</namePart>
<namePart type="family">Kulwin</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>The Barrett Center, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Diya F</namePart>
<namePart type="family">Mutasim</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Dermatology, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</affiliation>
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<abstract lang="en">Objective The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea.Design Two interventional case reports.Methods and intervention The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients.Results Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients.Conclusions To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.</abstract>
<note>Manuscript no. 99748.</note>
<note type="content">Figure 1: Chronic lymphedema affecting both lower eyelids and left upper eyelid. The figure shows marked erythema of the involved eyelids and scattered teleangectasias of upper cheeks.</note>
<note type="content">Figure 2: Histologic examination of the excision specimen from patient 1 reveals dilated lymphatic channels and lymphocytic infiltrate (arrow; stain, hematoxylin–eosin; original magnification ×100).</note>
<note type="content">Figure 3: Chronic lymphedema affecting the right lower eyelid. The figure shows marked erythema and teleangectasias of the skin overlying eyelids and upper cheeks.</note>
<note type="content">Figure 4: Patient 1 after debulking and horizontal tightening (3 weeks after surgery).</note>
<note type="content">Figure 5: Patient 2 after debulking and horizontal tightening (2 weeks after surgery).</note>
<note type="content">Table 1: Differential Diagnosis of Chronic Facial Edema legend</note>
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<originInfo><dateIssued encoding="w3cdtf">200012</dateIssued>
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<identifier type="ISSN">0161-6420</identifier>
<identifier type="PII">S0161-6420(00)X0013-9</identifier>
<part><date>200012</date>
<detail type="volume"><number>107</number>
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<detail type="issue"><number>12</number>
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<accessCondition type="use and reproduction" contentType="copyright">©2000 American Academy of Ophthalmology, Inc.</accessCondition>
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