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September 1995

Persistent Facial Swelling in a Patient With Rosacea

Author Affiliations

MRCP; MRCP; University Hospital, Queen's Medical Centre, Nottingham, England

Arch Dermatol. 1995;131(9):1074. doi:10.1001/archderm.1995.01690210105020

REPORT OF A CASE  A 71-year-old man was first seen in 1982 suffering from rosacea. He complained of mild facial burning and persistent redness predominantly affecting the convexities of the face. He derived little benefit from prolonged courses of oral oxytetracycline and minocycline. For a few months, he also made use of fluocinonide applied to the face. He was a football trainer for many years. His duties included prolonged ''heading the ball'' sessions, subjecting his forehead to repeated blunt trauma.In 1992, he presented with a 6-month history of persistent symmetrical swelling of the upper half of the face associated with minimal discomfort. He denied headaches or nasal symptoms. On physical examination, he had symmetrical nonpitting edema most prominent on the central forehead, periorbital regions, and upper cheeks, accompanied by diffuse facial erythema and some telangiectasia (Figure 1 and Figure 2). The rest of the skin and eyes were normal.

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