Elephantoid oedema of the eyelids

A. V. Marzano, P. Vezzoli, Elvio Alessi

Research output: Contribution to journalArticlepeer-review


We describe a male patient with rosacea who had a 2-year history of persistent bilateral oedema of the eyelids, leading to an elephantoid condition with blepharoptosis. An upper eyelid blepharoplasty was performed, but swelling progressively recurred over a few months. Based on the case history, clinical appearance and histological findings, rosaceous lymphoedema was considered to be the diagnosis. The latter is a bilateral, solid oedema of the mid-third of the face, regarded as a rare complication of rosacea. It is thought to occur as a result of chronic inflammation and lymphatic stasis, but its exact aethiopathogenesis remains elusive. Predominant eyelid involvement, causing severe visual impairment as in our patient, is unique.

Original languageEnglish
Pages (from-to)459-462
Number of pages4
JournalJournal of the European Academy of Dermatology and Venereology
Issue number4
Publication statusPublished - Jul 2004


  • Blepharochalasis
  • Ocular rosacea
  • Periorbital oedema
  • Rosaceous lymphoedema

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases


Dive into the research topics of 'Elephantoid oedema of the eyelids'. Together they form a unique fingerprint.

Cite this