Periorbital melanosis (under eye dark circles) is an often idiopathic cosmetically disturbing condition that is poorly responsive to currently available treatment modalities. We present the case of a 48-year-old man (skin phototype V) with significant idiopathic periorbital melanosis and who had good to excellent reduction in periorbital melanosis with the new DermaFrac™, which combines microne...

Cellulitis is a rare manifestation of meningococcal disease. We describe the case of a previously healthy 4-month-old female infant who developed periorbital cellulitis associated with meningococcal meningitis. Pediatrics 2005;116:e874–e875. URL: www.pediatrics.org/ cgi/doi/10.1542/peds.2005-0694; meningitis, meningococcal disease. ABBREVIATION. CSF, cerebrospinal fluid. Periorbital cellulitis ...

Adult-onset Still’s disease (AOSD) is a systemic inflammatory disorder of unknown etiology that is characterized by high-spiking fever, arthralgia, sore throat, and skin rash. The typical rash of AOSD is an evanescent, salmon-colored erythema, which is considered to be the major diagnostic criterion. Recently, other cutaneous manifestations of AOSD, such as persistent plaque and urticaria, have...

Two patients developed bilateral, periorbital edema after initiating positive airway pressure (PAP) therapy with a full face mask. The periorbital edema was more pronounced in the morning and would dissipate throughout the day. This phenomenon seemed to be correlated with the direct pressure of the full face mask, which may have impaired lymphatic and venous drainage. To test this hypothesis, e...

P eriorbital rejuvenation is a topic of particular interest to aesthetic surgeons, as aging changes often occur first around the eyelids, and periorbital surgery can improve both function and cosmesis. Ahead, the authors describe an approach to the periorbital aesthetic unit to treat the eyebrow, upper eyelid, lateral canthus, lower eyelid, and midface through a single upper eyelid blepharoplas...