PMID- 16399197 OWN - NLM STAT- MEDLINE DCOM- 20060216 LR - 20140729 IS - 0194-5998 (Print) IS - 0194-5998 (Linking) VI - 134 IP - 1 DP - 2006 Jan TI - Recurrent periorbital cellulitis: an unusual clinical entity. PG - 153-6 AB - OBJECTIVES: To discuss the cause and management of recurrent periorbital cellulitis (RPOC). STUDY DESIGN: Retrospective case series and review of literature. MATERIALS AND METHODS: In the past 11 years, we have treated 6 patients for recurrent periorbital cellulitis (RPOC). Inclusion criteria were a minimum of 3 episodes of periorbital cellulitis (POC) within a 1-year period, with interval convalescence lasting at least 1 month. All patients were followed for at least 1 year after resolution. RESULTS: The causes of RPOC were as follows: (1) 2 patients developed RPOC attributed to environmental allergies; (2) 1 was diagnosed with underlying recurrent sinusitis resistant to medical management with resolution attained through surgery; (3) 1 patient with vesicular RPOC was diagnosed with herpetic RPOC and treated medically with antiviral therapy; (4) 1 patient had allergic contact dermatitis from cosmetic make-up use; and (5) 1 patient was suspected of malingering via repeat subcutaneous self-injection of an irritant. CONCLUSIONS: Although periorbital cellulitis is a commonly encountered and treatable condition, recurrent periorbital cellulitis is rare and may be challenging to manage. In our experience, the causes of recurrence varied, but resolution was achieved by identifying the underlying cause through continuous clinical reassessment and by appropriate medical or surgical management. EBM RATING: C-4. FAU - Sorin, Alexander AU - Sorin A AD - Department of Otolaryngology, New York University School of Medicine, New York, NY, USA. sorina01@med.nyu.edu FAU - April, Max M AU - April MM FAU - Ward, Robert F AU - Ward RF LA - eng PT - Case Reports PT - Journal Article PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 SB - IM MH - Adolescent MH - Adult MH - Cellulitis/diagnosis/*etiology/*therapy MH - Child, Preschool MH - Diagnosis, Differential MH - Female MH - Humans MH - Infant MH - Male MH - *Orbit MH - Recurrence EDAT- 2006/01/10 09:00 MHDA- 2006/02/17 09:00 CRDT- 2006/01/10 09:00 PHST- 2005/03/10 00:00 [received] PHST- 2006/01/10 09:00 [pubmed] PHST- 2006/02/17 09:00 [medline] PHST- 2006/01/10 09:00 [entrez] AID - S0194-5998(05)01315-X [pii] AID - 10.1016/j.otohns.2005.06.010 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2006 Jan;134(1):153-6. doi: 10.1016/j.otohns.2005.06.010.