摘要
We describe a male patient with rosacea who had a 2-year history of persistent bilateral oedema of the eyelids, leading to an elephantoid condition with blepharoptosis.An upper eyelid blepharoplasty was performed, but swelling progressively recurred over a few months.Based on the case history, clinical appearance and histological findings, rosaceous lymphoedema was considered to be the diagnosis.The latter is a bilateral, solid oedema of the mid-third of the face, regarded as a rare complication of rosacea.It is thought to occur as a result of chronic inflammation and lymphatic stasis, but its exact aethiopathogenesis remains elusive.Predominant eyelid involvement, causing severe visual impairment as in our patient, is unique.
We describe a male patient with rosacea who had a 2-year history of persistent bilateral oedema of the eyelids, leading to an elephantoid condition with blepharoptosis.An upper eyelid blepharoplasty was performed, but swelling progressively recurred over a few months.Based on the case history, clinical appearance and histological findings, rosaceous lymphoedema was considered to be the diagnosis.The latter is a bilateral, solid oedema of the mid-third of the face, regarded as a rare complication of rosacea.It is thought to occur as a result of chronic inflammation and lymphatic stasis, but its exact aethiopathogenesis remains elusive.Predominant eyelid involvement, causing severe visual impairment as in our patient, is unique.
