Bilateral upper eyelid edema in Melkersson-Rosenthal syndrome.
ABSTRACT Melkersson-Rosenthal syndrome is an uncommon disorder characterized by a triad of facial nerve palsy, orofacial edema, and fissured tongue. A 42-year-old woman with Melkersson-Rosenthal syndrome presented with painless, nonpitting, bilateral asymmetric upper eyelid edema. The left eyelid was a bit larger than the right eyelid. CT and MRI demonstrated periorbital soft tissue thickening compatible with the microscopic findings of infiltration of lymphocytes, edema, and cystic dilatation of lymphatic vessels. After treatment by systemic doxycycline and corticosteroid, she showed some improvement of the eyelid edema. Isolated bilateral eyelids swelling may be observed in Melkersson-Rosenthal syndrome. In the case of unexplained nonpitting eyelid edema, biopsy should be performed.
- Digital journal of ophthalmology : DJO / sponsored by Massachusetts Eye and Ear Infirmary. 01/2014; 20(1):15-9.
Article: Periorbital edema: a puzzle no more?[Show abstract] [Hide abstract]
ABSTRACT: Periorbital edema is a common problem that deserves scrutiny. Although a variety of healthcare providers may see this clinical entity, ophthalmologists are often consulted along the way toward diagnosis. It can challenge even the most astute clinicians. A diagnosis may reveal merely a bothersome issue or potentially a sight-threatening or life-threatening problem. Comprehensive reviews on this topic are scarce. Textbooks are brief. There are, however, many studies in the scientific literature of notable cases of periorbital edema. The causes generally fall into the categories of infectious, inflammatory or tumors, medication related, and postsurgical or trauma. This article synthesizes the current literature on the topic with a case series from our institution. It aims to provide a thorough resource for all practitioners to make the prospect of triaging, diagnosing, and treating periorbital edema less daunting.Current opinion in ophthalmology 06/2012; 23(5):405-14. · 2.49 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Two cases of patients carriers of peripheral facial paralyses are presented, diagnosed as Melkersson- Rosenthal syndromes, included within the idiopathic causes of this entity. Its main characteristics were given by, the typical congenital fissured tongue, facio-labial edema and recurrent facial paralysis. It is described in the literature the family tendency of this illness. DeCS: MELKERSSON-ROSENTHAL SYNDROME; CASE REPORTSArchivo Médico de Camagüey. 01/2007; 11(1):-.