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Morbihan syndrome, a rare facial swelling condition, presents unique diagnostic and treatment challenges. Effective interventions include oral isotretinoin, intralesional triamcinolone, and surgery for this chronic disorder.

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Area of Science:

  • Dermatology
  • Ophthalmology
  • Plastic Surgery

Background:

  • Morbihan syndrome is a rare condition.
  • Characterized by slow-onset erythema and solid edema of the upper face.
  • Often presents with features suggestive of complicated rosacea and chronic lymphedema.

Purpose of the Study:

  • To describe the clinical characteristics of 10 patients with Morbihan syndrome.
  • To review the existing literature on this rare condition.
  • To evaluate treatment outcomes for Morbihan syndrome.

Main Methods:

  • Retrospective case series of 10 patients.
  • Review of relevant medical literature.
  • Diagnosis supported by lid biopsy.

Main Results:

  • The majority of patients were male (80%) with a mean age of 67 years.
  • 60% presented with asymmetrical disease, predominantly on the right side.
  • Histological findings indicated inflammation and vascular dysfunction, consistent with rosacea and lymphedema.
  • Oral isotretinoin, intralesional triamcinolone, and debulking surgery showed variable success.

Conclusions:

  • Morbihan syndrome is a rare, chronic condition.
  • Treatment can be challenging, often requiring a multimodal approach.
  • Interventions like isotretinoin, steroid injections, and surgery offer potential management options.