期刊
OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY
卷 23, 期 2, 页码 161-163出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.iop.0000256161.79015.38
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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.
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