Morbihan disease: a therapeutic challenge

被引:18
作者
Cabral, Fernanda [1 ,2 ]
Lubbe, Lara Caroline [1 ,2 ]
Nobrega, Monisa Martins [1 ,2 ]
Obadia, Daniel Lago [1 ,2 ,3 ]
Souto, Roberto [1 ,2 ]
Gripp, Alexandre Carlos [1 ,2 ]
机构
[1] Univ Estado Rio De Janeiro, HUPE, Rio De Janeiro, RJ, Brazil
[2] Univ Estado Rio De Janeiro, HUPE, Dermatol Serv, Rio De Janeiro, RJ, Brazil
[3] Univ Estado Rio De Janeiro, HUPE, Serv Dermatopathol, Rio De Janeiro, RJ, Brazil
关键词
Glucocorticoids; Isotretinoin; Lymphedema; Rosacea; ROSACEA; LYMPHEDEMA; EDEMA;
D O I
10.1590/abd1806-4841.20174485
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Morbihan disease is a rare condition characterized by chronic and persistent erythematous solid edema localized on the face. It is believed to be a complication of rosacea and may occur at any stage of the disease. Features of this condition include variable therapeutic response and great refractoriness. We report a case of a 61-year-old man with rosacea history diagnosed with Morbihan disease, who showed excellent therapeutic response with the combination of deflazacort and oral isotretinoin but developed recurrence after corticosteroid discontinuation. We believe that in severe cases of lymphedema of the face this combination is effective and corticosteroid suspension should be done slowly and gradually.
引用
收藏
页码:847 / 850
页数:4
相关论文
共 10 条
[1]  
Chen DM, 1997, J AM ACAD DERMATOL, V37, P346
[2]  
Erbagci Z, 2000, GAZI MED J, V11, P47
[3]   Rosacea lymphoedema of the eyelid [J].
Lai, TF ;
Leibovitch, I ;
James, C ;
Huilgo, SC ;
Selva, D .
ACTA OPHTHALMOLOGICA SCANDINAVICA, 2004, 82 (06) :765-767
[4]  
Morales-Burgos A, 2009, P R HEALTH SCI J, V28, P80
[5]   Persistent lymphoedema in Morbihan disease: formation of perilymphatic epithelioid cell granulomas as a possible pathogenesis [J].
Nagasaka, T. ;
Koyama, T. ;
Matsumura, K. ;
Chen, K. R. .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2008, 33 (06) :764-767
[6]   THERAPEUTIC HOTLINE: Successful treatment of Morbihan's disease with oral prednisolone and doxycycline [J].
Ranu, Harneet ;
Lee, Joyce ;
Hee, Tan Hiok .
DERMATOLOGIC THERAPY, 2010, 23 (06) :682-685
[7]  
ROMITI N, 2000, AN BRAS DERMATOL, V75, P599
[8]   Successful Long-term Use of Oral Isotretinoin for the Management of Morbihan Disease A Case Series Report and Review of the Literature [J].
Smith, Lauren A. ;
Cohen, David E. .
ARCHIVES OF DERMATOLOGY, 2012, 148 (12) :1395-1398
[9]  
Veraldi Stefano, 2013, Indian Dermatol Online J, V4, P122, DOI 10.4103/2229-5178.110639
[10]   Persistent erythema and edema of the midthird and upper aspect of the face (morbus morbihan): Evidence of hidden immunologic contact urticaria and impaired lymphatic drainage [J].
Wohlrab, J ;
Lueftl, M ;
Marsch, WC .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2005, 52 (04) :595-602