A Morbus Morbihan Case With Atypical Presentation Treated By Use of Metronidazole and Diuretic
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Case Report
P: 89-92
December 2009

A Morbus Morbihan Case With Atypical Presentation Treated By Use of Metronidazole and Diuretic

Turk J Dermatol 2009;3(4):89-92
1. Tdv 29 Mayis Özel Ankara Hastanesi, Dermatoloji Klinigi, Ankara, Türkiye
2. Ankara Egitim Ve Arastirma Hastanesi, Patoloji Klinigi, Ankara, Türkiye
3. Tdv 29 Mayis Hastanesi Plastik Ve Rekonstrüktif Cerrahi Klinigi, Ankara, Türkiye
4. Hacettepe Üniversitesi Tip Fakültesi, Dermatoloji Anabilim Dali, Ankara, Türkiye
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ABSTRACT

Morbus Morbihan is also described as a chronic lymphedema related to rosacea and characterized with hard nonpitting edema localized to the upper central face clinically. The other typical features are nonpathologic laboratory and histopathological findings and resistance to various therapies.

Forty-three years old female patient applied to the outpatient clinic with a persistant edema present for 5 years involving the upper lip, chin and cheeks. A diagnosis of rosaceous lymphedema (Morbus Morbihan) with atypical presentation was made on the ground of patient history, clinical examination and histopathological findings. The patient was prescribed to use topical and oral metronidazole and diuretic. Erythematous edema attacks completely stopped and facial erythematous edema decreased significantly. The involvement of lower face in our patient is interesting. Topical and oral metronidazole along with oral diuretic was efficacious in the treatment of our Morbus Morbihan case.

Keywords:
Morbihan's disease, Morbus Morbihan, diuretic, rosacea, lymphedema, metronidazole