title: Rosacea lymphoedema of the eyelid.
abstract: OBJECTIVE
  To present a patient with rosacea lymphoedema of one upper eyelid resulting in unilateral complete ptosis.
  
  
  METHODS
  A 51-year-old white man presented with a 12-month history of progressive painless swelling of the left upper eyelid. An incisional biopsy of the upper eyelid was performed.
  
  
  RESULTS
  The biopsy showed dermal oedema with lymphangiectasia and telangiectasia, accompanied by a mild to moderate mixed chronic inflammatory infiltrate of lymphocytes, histiocytes, plasma cells and rare eosinophils. Stains for fungi and mycobacteria were negative. The lack of lichenoid reaction, dermal mucin or lip swelling indicated a lymphoedematous manifestation of rosacea. The patient was treated with minocycline and prednisolone with no effect.
  
  
  CONCLUSIONS
  Rosacea lymphoedema involving the eyelid, as in our case, is a rare complication and can present diagnostic and therapeutic challenges to the ophthalmologist.
authors.affiliation: Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Tze Foon
authors.initials: TF
authors.lastname: Lai
authors.forename: Igal
authors.initials: I
authors.lastname: Leibovitch
authors.forename: Craig
authors.initials: C
authors.lastname: James
authors.forename: Shyamala C
authors.initials: SC
authors.lastname: Huilgol
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001763:Blepharoptosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination; D005141:Eyelid Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008209:Lymphedema / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D008911:Minocycline / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D012393:Rosacea / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D011239:Prednisolone; D008911:Minocycline