|LETTER TO EDITOR
|Year : 1995 | Volume
| Issue : 2 | Page : 128-129
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Krishna K. Blepharochalasis. Indian J Dermatol Venereol Leprol 1995;61:128-9
| To the Editor,|| |
A 25-year-old man gave a history of repeated transient attacks of painless swelling, of eyelids of both eyes since the age of 15 years. Such episodes progressively become more frequent with age. There was no history of similar disease in family members, or any preceding emotional or physically traumatic event. There was no evidence of eyelid trauma, infection, contact eczema, angioneurotic oedema, cutis laxa or lip swelling. Investigations for evidence of tracheobronchomegaly, goitre and renal disease were negative. Bilaterally symmetrical lid laxity, predominantly of the lower eyelids, with thinning, atrophy, wrinkling and prolapse of the orbital fat was present giving the patient an appearance of tiredness and premature aging.
Blepharochalasis is laxity of the eyelid skin due to a defect in the elastic tissue. It occurs in young people around puberty. Its cause is unknown. Most cases are sporadic, but some pedigrees show autosomal dominant inheritance. Many develop blepharochalasis after an emotionally or physically traumatic event.
Lower eyelid are affected only in severe cases, and unilateral disease is uncommon. This rare case of blepharochalasis was unique in that the lower eyelids were involved predominantly with lesser involvement of the upper eyelids, and there was no associated pigmentation or telangiectasia.
| References|| |
|1.||Brazin SA, Stern LJ, Johnson WT. Unilateral blepharochalasis Arch Dermatol 1979;115:479-81. |
|2.||Burton JL, Ebling FJG. Disorders of connective tissue. In: Textbook of Dermatology (Rook A, Wilkinson DS, Ebling FJG, et al, eds), 4th edn. Oxford: Blackwell Scientific Publications; 1986;1787-858. |
|3.||Custer PL, Tenzel RR, Kowalczyk AP. Blepharochalasis syndome. Am J Ophthalmol 1985;99:424-8. [PUBMED] |