Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina.
Department of Pathology, University of North Carolina, Chapel Hill, North Carolina.
Ophthalmic Plast Reconstr Surg. 2021;37(3):e112-e114. doi: 10.1097/IOP.0000000000001874.
We report an unusual case of a 58-year-old Caucasian female who developed intermittent eyelid erythema, edema, and wound thickening in the early postoperative period after bilateral upper eyelid blepharoplasty. These flares of inflammation sometimes appeared to respond to systemic antibiotics and steroid preparations and sometimes not. Because of concerns for possible mycobacterial infection, biopsy of the upper eyelid incision was performed and histopathology confirmed rosacea. Symptoms resolved with oral azithromycin. Our patient did not have a diagnosis of rosacea preoperatively. We believe that rosacea should be kept in mind in cases with either prolonged inflammation or recurrent inflammation in previously quiet eyelid incisions.
我们报告了一例不寻常的病例，一名 58 岁的白人女性在双侧上睑成形术后早期出现间歇性眼睑红斑、肿胀和伤口增厚。这些炎症发作有时似乎对全身抗生素和类固醇制剂有反应，有时则没有。由于担心可能的分枝杆菌感染，对上眼睑切口进行了活检，组织病理学证实为酒渣鼻。症状用口服阿奇霉素缓解。我们的患者术前没有酒渣鼻的诊断。我们认为，对于先前安静的眼睑切口出现长期炎症或反复炎症的病例，应考虑酒渣鼻。
