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  Vol. 145 No. 4, April 2009 TABLE OF CONTENTS
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VIGNETTES
Blepharochalasis: A Rare Condition Misdiagnosed as Recurrent Angioedema

Gang Wang, MD, PhD; Chunying Li, MD, PhD; Tianwen Gao, MD, PhD

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

Blepharochalasis is an uncommon condition occurring in young people at about the time of puberty. It is characterized by recurrent episodes of nonpitting, nonpainful, nonerythematous edema on the upper eyelids that leaves wrinkled, redundant, and thinned eyelid skin and results in atrophy and relaxation of the eyelid structures and ptosis.1 Blepharochalasis, especially in its early stage, is easily misdiagnosed as angioedema.2-4

Report of a Case

A 12-year-old boy presented with recurrent transitory swelling of the upper eyelids of unknown origin for 8 years. At age 4 years, he started having episodes of bilateral eyelid edema of 1 to 2 days' duration and ranging in frequency from 8 to 10 times per year. With each episode, there was a little more stretching, thinning, and wrinkling of the lids. No feeling of pain or pruritus was noticed. Over the years, eyelid laxity and progressive . . . [Full Text of this Article]


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