Blepharochalasis. A review of 30 cases.
Identifieur interne : 005C25 ( PubMed/Corpus ); précédent : 005C24; suivant : 005C26Blepharochalasis. A review of 30 cases.
Auteurs : J R CollinSource :
- Ophthalmic plastic and reconstructive surgery [ 0740-9303 ] ; 1991.
English descriptors
- KwdEn :
- Adolescent, Adult, Angioedema (diagnosis), Angioedema (pathology), Angioedema (surgery), Child, Child, Preschool, Diagnosis, Differential, Eyelid Diseases (diagnosis), Eyelid Diseases (pathology), Eyelid Diseases (surgery), Female, Humans, Lymphedema (diagnosis), Lymphedema (pathology), Lymphedema (surgery), Male, Skin Diseases (diagnosis), Skin Diseases (pathology), Skin Diseases (surgery).
- MESH :
- diagnosis : Angioedema, Eyelid Diseases, Lymphedema, Skin Diseases.
- pathology : Angioedema, Eyelid Diseases, Lymphedema, Skin Diseases.
- surgery : Angioedema, Eyelid Diseases, Lymphedema, Skin Diseases.
- Adolescent, Adult, Child, Child, Preschool, Diagnosis, Differential, Female, Humans, Male.
Abstract
This paper presents the findings in a series of 30 patients with blepharochalasis, including the age of onset, sex, predisposing factors, symptoms and signs, frequency and duration of attacks, and length of the history. There were 16 bilateral and 14 unilateral cases. The condition can be divided into an active (early) and a quiescent (late) stage. The active stage is further subdivided into intumescent (hypertrophic) and atrophic forms. The sequelae included excess thin skin, fat herniation, lacrimal gland prolapse, ptosis, blepharophimosis, pseudoepicanthic fold, proptosis, conjunctival injection and cysts, entropion, and ectorpion. Surgery primarily involved blepharoplasty, ptosis correction, and lateral canthal reattachment alone or in combination. The pathology showed a variable picture of epithelial atrophy, vasculitis, and loss of elastic fibers, which did not greatly help to differentiate blepharochalasis from angioedema, lymphedema, dermatochalasis, tumors and infiltrations, and floppy lid syndromes. Blepharochalasis is probably a localized angioedema. The diagnosis depends on the clinical features of intermittent attacks of localized swelling affecting one or more eyelids associated with thinning of the skin giving either an intumescent (hypertrophic) or atrophic appearance in the active stage of the condition and progressing to atrophic changes in the quiescent (late) stage.
PubMed: 1911519
Links to Exploration step
pubmed:1911519Le document en format XML
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<author><name sortKey="Collin, J R" sort="Collin, J R" uniqKey="Collin J" first="J R" last="Collin">J R Collin</name>
<affiliation><nlm:affiliation>Moorfields Eye Hospital, London, England.</nlm:affiliation>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Blepharochalasis. A review of 30 cases.</title>
<author><name sortKey="Collin, J R" sort="Collin, J R" uniqKey="Collin J" first="J R" last="Collin">J R Collin</name>
<affiliation><nlm:affiliation>Moorfields Eye Hospital, London, England.</nlm:affiliation>
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<series><title level="j">Ophthalmic plastic and reconstructive surgery</title>
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<imprint><date when="1991" type="published">1991</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Angioedema (diagnosis)</term>
<term>Angioedema (pathology)</term>
<term>Angioedema (surgery)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Diagnosis, Differential</term>
<term>Eyelid Diseases (diagnosis)</term>
<term>Eyelid Diseases (pathology)</term>
<term>Eyelid Diseases (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Skin Diseases (diagnosis)</term>
<term>Skin Diseases (pathology)</term>
<term>Skin Diseases (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Angioedema</term>
<term>Eyelid Diseases</term>
<term>Lymphedema</term>
<term>Skin Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Angioedema</term>
<term>Eyelid Diseases</term>
<term>Lymphedema</term>
<term>Skin Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Angioedema</term>
<term>Eyelid Diseases</term>
<term>Lymphedema</term>
<term>Skin Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">This paper presents the findings in a series of 30 patients with blepharochalasis, including the age of onset, sex, predisposing factors, symptoms and signs, frequency and duration of attacks, and length of the history. There were 16 bilateral and 14 unilateral cases. The condition can be divided into an active (early) and a quiescent (late) stage. The active stage is further subdivided into intumescent (hypertrophic) and atrophic forms. The sequelae included excess thin skin, fat herniation, lacrimal gland prolapse, ptosis, blepharophimosis, pseudoepicanthic fold, proptosis, conjunctival injection and cysts, entropion, and ectorpion. Surgery primarily involved blepharoplasty, ptosis correction, and lateral canthal reattachment alone or in combination. The pathology showed a variable picture of epithelial atrophy, vasculitis, and loss of elastic fibers, which did not greatly help to differentiate blepharochalasis from angioedema, lymphedema, dermatochalasis, tumors and infiltrations, and floppy lid syndromes. Blepharochalasis is probably a localized angioedema. The diagnosis depends on the clinical features of intermittent attacks of localized swelling affecting one or more eyelids associated with thinning of the skin giving either an intumescent (hypertrophic) or atrophic appearance in the active stage of the condition and progressing to atrophic changes in the quiescent (late) stage.</div>
</front>
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<DateCreated><Year>1991</Year>
<Month>11</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted><Year>1991</Year>
<Month>11</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised><Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0740-9303</ISSN>
<JournalIssue CitedMedium="Print"><Volume>7</Volume>
<Issue>3</Issue>
<PubDate><Year>1991</Year>
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<Title>Ophthalmic plastic and reconstructive surgery</Title>
<ISOAbbreviation>Ophthal Plast Reconstr Surg</ISOAbbreviation>
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<ArticleTitle>Blepharochalasis. A review of 30 cases.</ArticleTitle>
<Pagination><MedlinePgn>153-7</MedlinePgn>
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<Abstract><AbstractText>This paper presents the findings in a series of 30 patients with blepharochalasis, including the age of onset, sex, predisposing factors, symptoms and signs, frequency and duration of attacks, and length of the history. There were 16 bilateral and 14 unilateral cases. The condition can be divided into an active (early) and a quiescent (late) stage. The active stage is further subdivided into intumescent (hypertrophic) and atrophic forms. The sequelae included excess thin skin, fat herniation, lacrimal gland prolapse, ptosis, blepharophimosis, pseudoepicanthic fold, proptosis, conjunctival injection and cysts, entropion, and ectorpion. Surgery primarily involved blepharoplasty, ptosis correction, and lateral canthal reattachment alone or in combination. The pathology showed a variable picture of epithelial atrophy, vasculitis, and loss of elastic fibers, which did not greatly help to differentiate blepharochalasis from angioedema, lymphedema, dermatochalasis, tumors and infiltrations, and floppy lid syndromes. Blepharochalasis is probably a localized angioedema. The diagnosis depends on the clinical features of intermittent attacks of localized swelling affecting one or more eyelids associated with thinning of the skin giving either an intumescent (hypertrophic) or atrophic appearance in the active stage of the condition and progressing to atrophic changes in the quiescent (late) stage.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Collin</LastName>
<ForeName>J R</ForeName>
<Initials>JR</Initials>
<AffiliationInfo><Affiliation>Moorfields Eye Hospital, London, England.</Affiliation>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000799" MajorTopicYN="N">Angioedema</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
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<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005141" MajorTopicYN="N">Eyelid Diseases</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012871" MajorTopicYN="N">Skin Diseases</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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