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Solid facial edema in a patient with rosacea.
1Department of Dermatology, Shinshu University School of Medicine, Matsumoto, Japan.
The Journal of Dermatology
|April 25, 2000
Summary
A 53-year-old man experienced facial edema, conjunctivitis, and acneiform eruptions. Treatment with oral fleroxacin significantly reduced these symptoms, indicating its potential efficacy.
Area of Science:
- Dermatology
- Internal Medicine
Background:
- Facial edema, conjunctivitis, and acneiform eruptions can present with various underlying causes.
- Histopathological findings are crucial for diagnosing complex dermatological conditions.
Observation:
- A 53-year-old male presented with symmetrical nonpitting facial edema, conjunctivitis, and acneiform eruptions.
- Histopathology revealed perifollicular lymphohistiocytic infiltration, telangiectasias, and non-caseating granulomas in the dermis.
Findings:
- The patient's symptoms, including solid facial and periorbital edema, showed a marked reduction after a two-week course of oral fleroxacin (100 mg/day).
Implications:
- Fleroxacin may be an effective treatment option for similar presentations of facial edema and associated dermatological symptoms.
- This case highlights the importance of considering specific treatments for granulomatous conditions presenting with facial edema.