Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · Sep 2006
Case ReportsJuvenile dermatomyositis presenting with periorbital edema.
Juvenile dermatomyositis is a rare disease that affects the skin and muscles. It often presents with a classic heliotrope eyelid rash. We present a case of juvenile dermatomyositis presenting with significant bilateral periorbital edema, with its complete resolution after systemic antiinflammatory therapy.
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Ophthal Plast Reconstr Surg · Sep 2006
Case ReportsThyroid eye disease presenting after cosmetic botulinum toxin injections.
A 53-year-old woman with left periorbital swelling 4 days after botulinum toxin injection in the lateral canthal area presented after noticing left eye prominence. Physical examination demonstrated proptosis and eyelid retraction. ⋯ In this case, the patient had development of proptosis after receiving botulinum toxin injections. Although the proptosis may represent progression of the patients' thyroid eye disease, it is worthwhile to consider incitation by botulinum toxin as a possible cause given its widespread use.