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Chronic eyelid lymphedema and acne rosacea : Report of two cases

Identifieur interne : 000089 ( PascalFrancis/Curation ); précédent : 000088; suivant : 000090

Chronic eyelid lymphedema and acne rosacea : Report of two cases

Auteurs : Francesco P. Bernardini [Italie] ; Robert C. Kersten [États-Unis] ; Lucie M. Khouri [États-Unis] ; Muhammad Moin [États-Unis] ; Dwight R. Kulwin [États-Unis] ; Diya F. Mutasim [États-Unis]

Source :

RBID : Pascal:01-0115427

Descripteurs français

English descriptors

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.
pA  
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A08 01  1  ENG  @1 Chronic eyelid lymphedema and acne rosacea : Report of two cases
A11 01  1    @1 BERNARDINI (Francesco P.)
A11 02  1    @1 KERSTEN (Robert C.)
A11 03  1    @1 KHOURI (Lucie M.)
A11 04  1    @1 MOIN (Muhammad)
A11 05  1    @1 KULWIN (Dwight R.)
A11 06  1    @1 MUTASIM (Diya F.)
A14 01      @1 Ophthalmology Clinic, S. Martino Hospital, University of Genova School of Medicine @2 Genova @3 ITA @Z 1 aut.
A14 02      @1 The Barrett Center, University of Cincinnati School of Medicine @2 Cincinnati, Ohio @3 USA @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
A14 03      @1 Department of Dermatology, University of Cincinnati School of Medicine @2 Cincinnati, Ohio @3 USA @Z 6 aut.
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A44       @0 0000 @1 © 2001 INIST-CNRS. All rights reserved.
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A47 01  1    @0 01-0115427
A60       @1 P @3 EC
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A64 01  1    @0 Ophthalmology : (Rochester, MN)
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B09D
C03 01  X  FRE  @0 Acné rosacée @5 01
C03 01  X  ENG  @0 Acne rosacea @5 01
C03 01  X  SPA  @0 Acné rosácea @5 01
C03 02  X  FRE  @0 Etude cas @5 02
C03 02  X  ENG  @0 Case study @5 02
C03 02  X  SPA  @0 Estudio caso @5 02
C03 03  X  FRE  @0 Lymphoedème @5 04
C03 03  X  ENG  @0 Lymphedema @5 04
C03 03  X  SPA  @0 Linfedema @5 04
C03 04  X  FRE  @0 Paupière @5 05
C03 04  X  ENG  @0 Eyelid @5 05
C03 04  X  SPA  @0 Párpado @5 05
C03 05  X  FRE  @0 Chronique @5 06
C03 05  X  ENG  @0 Chronic @5 06
C03 05  X  SPA  @0 Crónico @5 06
C03 06  X  FRE  @0 Complication @5 07
C03 06  X  ENG  @0 Complication @5 07
C03 06  X  SPA  @0 Complicación @5 07
C03 07  X  FRE  @0 Homme @5 20
C03 07  X  ENG  @0 Human @5 20
C03 07  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Peau pathologie @5 37
C07 01  X  ENG  @0 Skin disease @5 37
C07 01  X  SPA  @0 Piel patología @5 37
C07 02  X  FRE  @0 Appareil circulatoire pathologie @5 45
C07 02  X  ENG  @0 Cardiovascular disease @5 45
C07 02  X  SPA  @0 Aparato circulatorio patología @5 45
C07 03  X  FRE  @0 Lymphatique pathologie @5 46
C07 03  X  ENG  @0 Lymphatic vessel disease @5 46
C07 03  X  SPA  @0 Linfático patología @5 46
N21       @1 078

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Pascal:01-0115427

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<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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<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>45</s5>
</fC07>
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<s0>Lymphatique pathologie</s0>
<s5>46</s5>
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<fC07 i1="03" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>46</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>46</s5>
</fC07>
<fN21>
<s1>078</s1>
</fN21>
</pA>
</standard>
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