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  • Title: Elephantoid oedema of the eyelids.
    Author: Marzano AV, Vezzoli P, Alessi E.
    Journal: J Eur Acad Dermatol Venereol; 2004 Jul; 18(4):459-62. PubMed ID: 15196162.
    Abstract:
    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.
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