Periorbital and facial lymphedema associated with erysipelas

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Periorbital and facial lymphedema associated with erysipelas

Postby patoco » Mon Jul 23, 2007 7:30 am

Persistent periorbital and facial lymphedema associated with Group A beta-hemolytic streptococcal infection (erysipelas).

Ophthal Plast Reconstr Surg. 2007 Mar-Apr

Buckland GT, Carlson JA, Meyer DR.
Department of Ophthalmology, Division of Dermatology and Dermatopathology, Albany Medical College, Albany, New York, USA.

Chronic lymphedema is both a risk factor for and consequence of erysipelas (cellulitis). We report a case of a 62-year-old woman with rheumatoid arthritis treated with etanercept and prednisone, who developed chronic periorbital lymphedema 2 months after Group A beta-hemolytic streptococcus infection of the face. She had significant ptosis OS and thickened, hyperpigmented periorbital skin. Biopsies were consistent with chronic lymphedema. Of note, on 6 months follow-up, the patient's appearance was improved though she still had residual ptosis. A period of extended observation may be warranted in these cases. ... 29!8091!-1

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