Purpose: To present a patient with rosacea lymphoedema of one upper eyelid res ulting in unilateral complete ptosis. Methods: A 51-year-old white man present ed with a 12-month history of progressive painless swelling...Purpose: To present a patient with rosacea lymphoedema of one upper eyelid res ulting in unilateral complete ptosis. Methods: A 51-year-old white man present ed with a 12-month history of progressive painless swelling of the left upper e yelid. An incisional biopsy of the upper eyelid was performed. Results: The biop sy showed dermal oedema with lymphangiectasia and telangiectasia, accompanied by a mild to moderate mixed chronic inflammatory infiltrate of lymphocytes, histio cytes, plasma cells and rare eosinophils. Stains for fungi and mycobacteria were negative. The lack of lichenoid reaction, dermal mucin or lip swelling indicate d a lymphoedematous manifestation of rosacea. The patient was treated with minoc ycline and prednisolone with no effect. Conclusion: Rosacea lymphoedema involvin g the eyelid, as in our case, is a rare complication and can present diagnostic and therapeutic challenges to the ophthalmologist.展开更多
文摘Purpose: To present a patient with rosacea lymphoedema of one upper eyelid res ulting in unilateral complete ptosis. Methods: A 51-year-old white man present ed with a 12-month history of progressive painless swelling of the left upper e yelid. An incisional biopsy of the upper eyelid was performed. Results: The biop sy showed dermal oedema with lymphangiectasia and telangiectasia, accompanied by a mild to moderate mixed chronic inflammatory infiltrate of lymphocytes, histio cytes, plasma cells and rare eosinophils. Stains for fungi and mycobacteria were negative. The lack of lichenoid reaction, dermal mucin or lip swelling indicate d a lymphoedematous manifestation of rosacea. The patient was treated with minoc ycline and prednisolone with no effect. Conclusion: Rosacea lymphoedema involvin g the eyelid, as in our case, is a rare complication and can present diagnostic and therapeutic challenges to the ophthalmologist.
