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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Distichiasis is defined as a double row of eyelashes and is derived from the Greek word distichia, double line.¹ Distichiasis is one of the anomalies associated with late-onset congenital lymphedema.² We describe a patient with lymphedema-distichiasis syndrome, review the literature, and briefly discuss syndromes associated with late-onset lymphedema.

Report of a Case.

A 14-year-old African American girl presented with a 3-month history of nonpitting edema beginning on the left distal leg and progressing to both lower extremities extending to the thigh. Her surgical history was notable for dual-chamber pacemaker placement for symptomatic bradycardia due to Mobitz type I secondary atrioventricular block and correction of supracardiac total anomalous pulmonary venous connection and patent ductus arteriosus. The patient's family medical history was notable for a maternal grandmother and a great-grandmother with lymphedema and congenital heart disease; the medical condition of the mother of the proband was unknown. There was no history of travel outside of . . . [Full Text of this Article]

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