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. gtb@freekfly.com
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.
http://www.op-rs.com/pt/re/oprs/abstrac ... 29!8091!-1
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Pat O'Connor
Lymphedema People
http://www.lymphedemapeople.com