He denied any pain, itching or worsening of symptoms after sun exposure. The swelling initially started on the upper eyelids and gradually progressed over the next few years to involve the forehead and both cheeks. We report a case of this rare entity, in association with primary genital lymphedema.Ī 23-year-old male presented with complaints of swelling and redness of the upper eyelids and face, of 7 years duration.
Some authors also hypothesize that a primary lymph vessel abnormality in the involved skin is the underlying cause. Its pathogenesis remains largely unknown but the clinical manifestations are presumably caused by derangements in local cutaneous vasculature and imbalance between lymph production and drainage. Morbihan disease is characterized by chronic and recurrent pattern of symmetrical facial edema and erythema, over the middle and upper thirds of the face (malar regions, nose, glabella, eyelids and forehead).
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