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Lauren B. Smith, MD; Melissa A. Pynnonen, MD; Andrew Flint, MD; James L. Adams, MD; Victor M. Elner, MD, PhD

Arch Ophthalmol. 2009;127(8):1068-1070.

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

Periocular swelling is a cardinal manifestation of Melkersson-Rosenthal syndrome and may occur in many other diseases, including severe acne, vasculitis, sarcoidosis, or impaired venous or lymphatic drainage complicating neoplasia or radiotherapy of the neck.¹ Rarely has it been reported as the sole manifesting sign of lymphoma.^1-3

Report of a Case

A 43-year-old man developed right eyelid swelling in April 2007. He had no history of trauma, infection, or constitutional symptoms. Physical examination revealed right-sided facial edema, most pronounced in the eyelid and cheek soft tissues (Figure 1A). A right cervical lymph node, palpable by the patient for 6 months, measured 1 cm. Computed tomography revealed diffuse infiltration of right facial soft tissues including the masticator and parapharyngeal spaces, nasopharynx, and maxillary sinus mucosa (Figure 1B and C). Ocular examination showed . . . [Full Text of this Article]

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