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Phthiriasis palpebral: diagnóstico y tratamiento
López García,JS; García Lozano,I; Martínez Garchitorena,J;
Archivos de la Sociedad Espa?ola de Oftalmología , 2003, DOI: 10.4321/S0365-66912003000700005
Abstract: phthiriasis palpebrarum, caused by phthirus pubis, is an uncommon cause of blepharoconjunctivitis; therefore, this condition is easily misdiagnosed. when diagnosed, genital involvement must be ruled out. association with other venereal diseases is common. affected children must be searched for sexual abuse. the number of diagnosed patients in our department has increased in recent years. we review the epidemiological, clinical and diagnostic features of phthriasis palpebrarum as well as the different treatment options to eradicate the parasite and to prevent infestations.
Phthriasis Palpebrarum Mimicking Lid Eczema and Blepharitis  [PDF]
Burak Turgut,Julide Kurt,Onur atak,Tamer Demir
Journal of Ophthalmology , 2009, DOI: 10.1155/2009/803951
Abstract: Phthiriasis palpebrarum (PP) is a rare eyelid infestation caused by phthirus pubis. We report a case of PP mimicking lid eczema and blepharitis. A 68-year-old woman had moderate itching in both eyes. Her initial diagnosis was considered to be lid eczema or blepharitis because of findings similar to exfoliative lesions and color changes in eyelids and to excretions over eyelashes. Careful observation revealed many lice and translucent nits, protuberances and hyperpigmentary changes, and the buried lice in both eyelids. No hyperemia or secretion was observed on the lids and in the conjunctiva in both eyes. The patient was treated with pilocarpine hydrochloride 4% drops. At the end of the first week, no louse or nit was present. Although it was known that PP is a rare cause of blepharoconjunctivitis, it might observe as an isolated infestation of the eyelids and this condition can easily be misdiagnosed as lid eczema and blepharitis.
Effectiveness of cryosurgery in xanthelasma palpebrarum  [cached]
Dewan S,Kaur Amarjit,Gupta R
Indian Journal of Dermatology, Venereology and Leprology , 1995,
Abstract: 100 cases of xanthelasma palpebrarum were subjected to closed probe cryosurgery using nitrous oxide gas as the cryogen. Each freeze thaw cycle was fixed for 15 seconds. The procedure was done in a single session in all the cases. All these cases were followed up for 6 months. At the end of 6 months follow up in 68 cases, treated sites looked absolutely normal, in other 6 cases, treated sites looked almost normal except for pin head sized hypopigmentation in the centre of their treated lesions, while in remaining 26 cases, recurrence was observed in the form of yellowish papules/plaques. No other sequelae in the form of scarring or milia were observed in any case.
Pediculosis palpebrarum (le)  [cached]
Krishna A
Indian Journal of Dermatology, Venereology and Leprology , 1998,
Bilateral Circular Xanthelasma Palpebrarum  [PDF]
Jungmin Kim,Yu Jin Kim,Hyoseob Lim,Se Il Lee
Archives of Plastic Surgery , 2012, DOI: http://dx.doi.org/10.5999/aps.2012.39.4.435

- , 2016, DOI: 10.7507/1002-1892.20160230
Abstract: 目的探讨联合全上睑旋转皮瓣、重睑成形术及“Z”成形内眦赘皮矫正术一期修复合并内眦赘皮的较大上睑睑黄瘤切除术后缺损。 方法2013年12月-2015年12月,收治12例合并内眦赘皮的较大上睑睑黄瘤女性患者。患者年龄36~59岁,平均43岁。病程3~16年,平均11年。首次切除6例,二次切除残余睑黄瘤4例,切除术后复发2例。睑黄瘤最大横径为0.5~1.3 cm,平均1.0 cm;为边界不规则斑块,呈深黄色。内眦赘皮根据车俊敏等提出的分度标准:轻度7例,中度3例,重度2例。患者血脂检查均在正常范围。术中切除睑黄瘤后,联合全上睑旋转皮瓣、重睑成形术及“Z”成形内眦赘皮矫正术修复缺损。 结果术后切口均Ⅰ期愈合,皮瓣顺利成活,无手术相关并发症发生。术后1个月复查见4例瘢痕增生明显,行瘢痕综合治疗。患者均获随访,随访时间3个月~2年,平均1.5年。重睑效果良好,睑黄瘤无复发。 结论联合全上睑旋转皮瓣、重睑成形术及“Z”成形内眦赘皮矫正术修复合并内眦赘皮的上睑睑黄瘤切除后较大缺损,可以有效缓解皮瓣尖端内眦部张力,在修复缺损同时获得良好的重睑和内眦形态。
ObjectiveTo investigate the effectiveness of combined three operations (rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty) for one stage defect repair after resection of xanthelasma palpebrarum with epicanthus. MethodsBetween December 2013 and December 2015, 12 female patients with large xanthelasma palpebrarum and epicanthus underwent rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty for one stage defect repair. The age ranged from 36 to 59 years (mean, 43 years). The course of disease was 3 to 16 years, with an average of 11 years. The initial resection was performed in 6 cases, second resection of residual xanthelasma palpebrarum in 4 cases, and 2 cases had recurrence after resection. The maximum diameter of xanthelasma palpebrarum was 0.5-1.3 cm (mean, 1.0 cm). According to CHE Junmin et al criterion, epicanthus was rated as mild in 7 cases, moderate in 3 cases, and severe in 2 cases. The blood lipid level was in normal range. ResultsPrimary healing of incision was obtained, and the flaps survived in all patients; no complication occurred. Scar hyperplasia was found in 4 cases at 1 month after operation, and the comprehensive treatment of scar was performed. All patients were followed up for 3 months to 2 years, with an average of 1.5 years. Double eyelid effects were good, and no xanthelasma palpebrarum recurred. ConclusionA combination of rotated total upper eyelid skin flap, construction of double eyelid, and "Z" flap epicanthal plasty is an effective operative procedure to repair defect after resection of xanthelasma palpebrarum with epicanthus; and better curve of double eyelid, better shape of endocanthion, and less tension of flap can be got.
Q-switched Nd: YAG in the treatment of xanthelasma palpebrarum  [cached]
Kaliyadan Feroze,Dharmaratnam A
Journal of Cutaneous and Aesthetic Surgery , 2010,
Tratamento de fitiríase palpebral com ivermectina
Fernandes, José Byron Vicente Dias;Gorn, Paulo Gelman Vaider;Matayoshi, Suzana;
Arquivos Brasileiros de Oftalmologia , 2001, DOI: 10.1590/S0004-27492001000200013
Abstract: the authors report a case of a 16-year-old patient with phthi-riasis palpebrarum treated with oral ivermectin. although already used for a number of other parasitic diseases it is also effective against human lice. one outstanding advan-tage of that drug could be its easy medical regimen.
Xanthoma Tendinosum And Familial Hypercholesterolemia  [cached]
Mahajan Vikram K,Sharma N. L,Sood Sandeep
Indian Journal of Dermatology , 2003,
Abstract: A 40 year old female presented with multiple tendon xanthomas over extensor tendons of hands and feet, xanthelasma palpebrarum, arcus corneae and early atherosclerosis of retinal vessels. Investigations revealed normal triglycerides, very high plasma cholesterol and LDL levels, consistent with familial hypercholesterolemia (Fredrickson type lla). A work-up for cardiovascular involvement was normal and biopsy from one of the nodules showed xanthoma cells.
Familial hypercholesterolemia with multiple cutaneous xanthomas
Reddy BSN,Chaudhuri S
Indian Journal of Dermatology , 2006,
Abstract: An interesting episode of homozygous familial hypercholesterolemia affecting four children born to a consanguinous parents belonging to two different families is reported for its rarity. The patients had multiple cutaneous xanthomas including the characteristic xanthoma tendinosum, xanthoma interosseum, xanthoma tuberosum, and xanthelasma palpebrarum. Prominent corneal arcus juvenalis has been noted in three children. Gross elevation of serum levels of low density lipoprotein cholesterol (LDLc) with normal values of triglycerides have been found in all patients. They have been prescribed medication with oral tablets of simvastatin and advised fat restricted diet and regular follow up in the clinic at periodic intervals.
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