Otophyma : A Case Report and Review of the Literature of Lymphedema (Elephantiasis) of the Ear
Identifieur interne : 006F83 ( Main/Exploration ); précédent : 006F82; suivant : 006F84Otophyma : A Case Report and Review of the Literature of Lymphedema (Elephantiasis) of the Ear
Auteurs : J. Andrew Carlson [États-Unis] ; Jill Mazza [États-Unis] ; Kenneth Kircher [États-Unis] ; TIEN ANH TRAN [États-Unis]Source :
- The American journal of dermatopathology [ 0193-1091 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Littérature.
English descriptors
- KwdEn :
Abstract
Phymas (swellings, masses, or bulbs) are considered the end-stage of rosacea and mostly affect the nose (rhinophyma), and rarely involve the chin (gnatophyma), the cheek (metophyma), eyelids (blepharophyma), or ears (otophyma). Herein, we report the case of a 57-year-old man who developed unilateral enlargement of his left ear over 2 years. Biopsy revealed changes of rosaceous lymphedema associated with Demodex infestation. Corticosteroid and minocycline therapies resulted in partial reduction of the ear enlargement. Literature review examining for cases of lymphedema (elephantiasis) of the ear revealed that chronic inflammatory disorders (rosacea (most frequent), psoriasis, eczema), bacterial cellulitis (erysipelas), pediculosis, trauma, and primary (congenital) lymphedema can all lead to localized, lymphedematous enlargement of the ear. Depending on the severity, medical treatment directed at the inflammatory condition for mild, diffuse enlargement to surgical debulking for extensive diffuse enlargement or tumor formation can improve the signs and symptoms of otophyma. Decreased immune surveillance secondary to rosaceous lymphedema may explain why Demodex infestation is common in rosacea and support the suspicion that phymatous skin is predisposed to skin cancer development.
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Andrew" last="Carlson">J. Andrew Carlson</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Divisions of Dermatology and Dermatopathology, Albany Medical College</s1><s2>Albany, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Mazza, Jill" sort="Mazza, Jill" uniqKey="Mazza J" first="Jill" last="Mazza">Jill Mazza</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Divisions of Dermatology and Dermatopathology, Albany Medical College</s1><s2>Albany, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Kircher, Kenneth" sort="Kircher, Kenneth" uniqKey="Kircher K" first="Kenneth" last="Kircher">Kenneth Kircher</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Advanced Dermatology</s1><s2>Lake Katrine, NY</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Tien Anh Tran" sort="Tien Anh Tran" uniqKey="Tien Anh Tran" last="Tien Anh Tran">TIEN ANH TRAN</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Pathology, Florida Orlando Hospital</s1><s2>Orlando, FL</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author></analytic><series><title level="j" type="main">The American journal of dermatopathology</title><title level="j" type="abbreviated">Am. j. dermatopathol.</title><idno type="ISSN">0193-1091</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American journal of dermatopathology</title><title level="j" type="abbreviated">Am. j. dermatopathol.</title><idno type="ISSN">0193-1091</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acne rosacea</term><term>Anatomic pathology</term><term>Case study</term><term>Dermatology</term><term>Ear</term><term>Elephantiasis</term><term>Literature</term><term>Lymphedema</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Eléphantiasis</term><term>Acné rosacée</term><term>Etude cas</term><term>Littérature</term><term>Oreille</term><term>Dermatologie</term><term>Anatomopathologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Littérature</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Phymas (swellings, masses, or bulbs) are considered the end-stage of rosacea and mostly affect the nose (rhinophyma), and rarely involve the chin (gnatophyma), the cheek (metophyma), eyelids (blepharophyma), or ears (otophyma). Herein, we report the case of a 57-year-old man who developed unilateral enlargement of his left ear over 2 years. Biopsy revealed changes of rosaceous lymphedema associated with Demodex infestation. Corticosteroid and minocycline therapies resulted in partial reduction of the ear enlargement. Literature review examining for cases of lymphedema (elephantiasis) of the ear revealed that chronic inflammatory disorders (rosacea (most frequent), psoriasis, eczema), bacterial cellulitis (erysipelas), pediculosis, trauma, and primary (congenital) lymphedema can all lead to localized, lymphedematous enlargement of the ear. Depending on the severity, medical treatment directed at the inflammatory condition for mild, diffuse enlargement to surgical debulking for extensive diffuse enlargement or tumor formation can improve the signs and symptoms of otophyma. Decreased immune surveillance secondary to rosaceous lymphedema may explain why Demodex infestation is common in rosacea and support the suspicion that phymatous skin is predisposed to skin cancer development.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Carlson, J Andrew" sort="Carlson, J Andrew" uniqKey="Carlson J" first="J. Andrew" last="Carlson">J. Andrew Carlson</name></region><name sortKey="Kircher, Kenneth" sort="Kircher, Kenneth" uniqKey="Kircher K" first="Kenneth" last="Kircher">Kenneth Kircher</name><name sortKey="Mazza, Jill" sort="Mazza, Jill" uniqKey="Mazza J" first="Jill" last="Mazza">Jill Mazza</name><name sortKey="Tien Anh Tran" sort="Tien Anh Tran" uniqKey="Tien Anh Tran" last="Tien Anh Tran">TIEN ANH TRAN</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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