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Case Reports
. 2014 Jan 18;20(1):15-9.
doi: 10.5693/djo.03.2013.09.007. eCollection 2014.

A 49-year-old man with unilateral, nontender left eyelid swelling

Brandon J Wong  1 , Bryan K Hong  2 , Daman Samrao  3 , Gene H Kim  3 , Narsing A Rao  2
Affiliations
Case Reports

A 49-year-old man with unilateral, nontender left eyelid swelling

Brandon J Wong et al. Digit J Ophthalmol. .
No abstract available

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Figures

Figure 1
Figure 1
A 49-year-old man with left upper eyelid swelling of 14 months’ duration at presentation.
Figure 2
Figure 2
Patient at presentation with relatively normal tongue, with only a mild fissure located centrally (arrow).
Figure 3
Figure 3
Magnetic resonance imaging of the orbits obtained in sequence. A, Axial T2-weighted imaging before contrast showing left eyelid tissue swelling and no evidence of lacrimal gland enlargement (yellow arrow). B, Axial T1-weighted imaging before contrast showing left eyelid soft tissue swelling. C, Axial T1-weighted imaging after contrast with fat suppression showing continued left eyelid soft tissue swelling and no focal areas of enhancement. D, Coronal T1-weighted imaging after contrast with fat suppression showing no extraorbital masses or abnormal enlargement of extraocular muscles.
Figure 4
Figure 4
A, A low-power photomicrograph showing dermal edema, dilated lymphatics and noncaseating granulomas (black arrows) associated with the lymphovasculature along with an infiltrate of chronic inflammatory cells (hematoxylin and eosin, original magnification × 10). B, High-power image of the granulomas showing a loose collection of histiocytes possibly within the lumen of a lymphatic or vessel. Chronic inflammation is present surrounding the granulomas (hematoxylin and eosin, original magnification × 20). C, The D2–40 stain highlights the presence of a lymphatic wall surrounding a loosely formed granuloma. D, The presence of the intralymphatic granuloma is confirmed by the CD68 stain.
See this image and copyright information in PMC

References

    1. Koursh DM, Modjtahedi SP, Selva D, Leibovitch I. The blepharochalasis syndrome. Surv Ophthalmol. 2009;54:235–44. - PubMed
    1. Talabi OA. Melkerssons-Rosenthal syndrome: a case report and review of the literature. Niger J Clin Pract. 2011;14:477–8. - PubMed
    1. Cockerham KP, Hidayat AA, Cockerham GC, et al. Melkersson-Rosenthal syndrome: new clinicopathologic findings in 4 cases. Arch Ophthalmol. 2000;118:227–32. - PubMed
    1. Akarsu C, Atasoy P, Erdogan S, Kocak M. Bilateral upper eyelid edema in Melkersson-Rosenthal syndrome. Ophthal Plast Reconstr Surg. 2005;21:243–5. - PubMed
    1. Elias MK, Mateen FJ, Weiler CR. The Melkersson-Rosenthal syndrome: a retrospective study of biopsied cases. J Neurol. 2013;260:138–43. - PubMed

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