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莫比汉综合征:英国病例系列研究

Morbihan Syndrome, a UK Case Series.

机构信息

Sussex Eye Hospital, Brighton.

National Specialist Ophthalmic Pathology Service (NSOPS), Dept of Histopathology, E-Floor, Royal Hallamshire Hospital Sheffield.

出版信息

Ophthalmic Plast Reconstr Surg. 2020 Sep/Oct;36(5):438-443. doi: 10.1097/IOP.0000000000001589.

DOI:10.1097/IOP.0000000000001589
PMID:31990896
Abstract

PURPOSE

To describe 10 patients with Morbihan syndrome, a rare condition characterized by the slow appearance of erythema and solid edema on the upper portion of the face, and review the literature.

METHODS

Retrospective case series and review.

RESULTS

The majority of patients were male (80%), and the mean age at presentation was 67 years (range, 48-88 years); 60% had asymmetrical disease (affecting mainly the right side). All subjects underwent a lid biopsy to support the diagnosis of Morbihan syndrome, which showed features of inflammation and vascular dysfunction, highly suggestive of a rosacea histological picture complicated by chronic lymphoedema. A range of medical and surgical treatment were used with variable success. The most effective ones included oral isotretinoin, intralesional triamcinolone injections, and debulking surgery.

CONCLUSIONS

Morbihan syndrome is a rare and chronic condition. It can be difficult to treat and may require a range of interventions.

摘要

目的

描述 10 例 Morbihan 综合征患者,这是一种罕见的疾病,表现为面部上部缓慢出现红斑和坚实性水肿,并复习相关文献。

方法

回顾性病例系列和综述。

结果

大多数患者为男性(80%),发病时的平均年龄为 67 岁(范围,48-88 岁);60%的患者疾病呈不对称性(主要影响右侧)。所有患者均接受了眼睑活检以支持 Morbihan 综合征的诊断,该诊断显示出炎症和血管功能障碍的特征,高度提示为伴有慢性淋巴水肿的酒渣鼻组织学图像。采用了一系列的药物和手术治疗,但疗效不一。最有效的治疗方法包括口服异维 A 酸、皮损内曲安奈德注射和减容手术。

结论

Morbihan 综合征是一种罕见的慢性疾病,治疗较为困难,可能需要多种干预措施。

相似文献

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Morbihan Syndrome, a UK Case Series.莫比汉综合征:英国病例系列研究
Ophthalmic Plast Reconstr Surg. 2020 Sep/Oct;36(5):438-443. doi: 10.1097/IOP.0000000000001589.
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Morbihan Disease - An Old and Rare Entity Still Difficult to Treat.莫比汉病——一种古老而罕见的疾病,仍然难以治疗。
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Morbihan syndrome: a case report and literature review.莫尔比昂综合征:一例病例报告及文献综述。
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[Morbihan disease as a special form of rosacea: review of pathogenesis and new therapeutic options].[作为酒渣鼻特殊形式的莫尔比昂病:发病机制综述及新治疗选择]
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Morbihan Disease Treatment: Two Case Reports and a Systematic Literature Review.莫比汉病治疗:两例病例报告和系统文献回顾。
Ophthalmic Plast Reconstr Surg. 2019 Mar/Apr;35(2):126-132. doi: 10.1097/IOP.0000000000001229.
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Extreme Eyelid Lymphedema Associated With Rosacea (Morbihan Disease): Case Series, Literature Review, and Therapeutic Considerations.与酒渣鼻相关的严重眼睑淋巴水肿(莫尔比昂病):病例系列、文献综述及治疗考量
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3S Suppl 1):S34-S38. doi: 10.1097/IOP.0000000000000581.

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