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Survey of Ophthalmology 2007Fever and periorbital swelling are the manifestation of a broad array of diseases. Among them are emergency situations, which need prompt physician input. Swiftly... (Review)
Review
Fever and periorbital swelling are the manifestation of a broad array of diseases. Among them are emergency situations, which need prompt physician input. Swiftly formulating a differential diagnosis approach is crucial. Diseases causing fever and periorbital edema are either local or systemic. Nevertheless, their impact can be systemic if they evade diagnosis. Infectious diseases and non-infectious diseases (inflammatory and allergic diseases, autoimmune diseases, neoplastic diseases, and trauma) can all lead to fever and periorbital edema. A meticulous history and physical examination in association with targeted tests against the presented spectrum of diseases (specific serological tests, radiological tests, cultures taken from the surface of the periorbital area and other relevant areas, and skin biopsy for histological and microbiological examination) will clarify the diagnosis.
Topics: Diagnosis, Differential; Edema; Exudates and Transudates; Fever; Humans; Orbital Diseases
PubMed: 17574066
DOI: 10.1016/j.survophthal.2007.04.006 -
Journal of Pediatric and Adolescent... Apr 2006To describe a case of bilateral labial edema in an adolescent patient and review the literature on this rare occurrence. (Review)
Review
PURPOSE
To describe a case of bilateral labial edema in an adolescent patient and review the literature on this rare occurrence.
MATERIAL
A 16-year-old girl was treated for widespread genital condyloma acuminata with CO(2) laser under general anesthesia and local lidocaine injections. Severe bilateral labial edema occurred after 48 hours.
RESULTS
Lidocaine and Latex dermal patch tests for delayed hypersensitivity were negative. The edema resolved following treatment with local ice packs and magnesium sulfate compresses for 2 weeks.
CONCLUSION
This is the first description of severe bilateral labial edema after CO(2) laser treatment for condyloma acuminata. We suggest that transient local lymphatic obstruction was the reason for this complication. The literature on this rare occurrence is reviewed.
Topics: Adolescent; Condylomata Acuminata; Edema; Female; Humans; Laser Therapy; Vulvar Diseases
PubMed: 16624698
DOI: 10.1016/j.jpag.2006.01.049 -
Dental Update Nov 2016This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips. Clinical relevance: Sore... (Review)
Review
This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips. Clinical relevance: Sore and/or swollen lips are not uncommon, often have a local cause but may reflect a systemic disease. This first part of a series of three papers reviews their causes and diagnosis alphabetically, for ease of reference.
Topics: Edema; Humans; Lip Diseases
PubMed: 29152959
DOI: 10.12968/denu.2016.43.9.874 -
International Angiology : a Journal of... 1989Microvascular permeability to fluid and hydrophilic solutes is restricted to channels between the endothelial cells and through the fenestrations when these are present.... (Review)
Review
Microvascular permeability to fluid and hydrophilic solutes is restricted to channels between the endothelial cells and through the fenestrations when these are present. The channels have a molecular filter which appears to be a lattice of fibrous molecules reinforced by plasma proteins. The quantitative description of blood-tissue fluid movements is complicated by plasma protein permeation which leads to a non-linear steady state relation between fluid filtration and microvascular pressure. When fluid filtration is low it can be balanced by lymph flow but at high pressures oedema develops. Microvascular pressure rises less than expected with increments of venous pressure owing to local vasoconstriction of the arterioles. The sluggish flow which results from this vasoconstriction and high venous pressure leads to a haemoconcentration which reduces oedema formation but favours leucocyte and platelet sequestration within the microcirculation.
Topics: Animals; Capillary Permeability; Edema; Humans; Vasoconstriction; Venous Insufficiency
PubMed: 2698904
DOI: No ID Found -
British Journal of Plastic Surgery Apr 2003Unilateral blepharochalasis is an extremely rare disorder with an unknown etiology and pathogenesis. The authors present a 22-year old patient in whom a right-sided skin...
Unilateral blepharochalasis is an extremely rare disorder with an unknown etiology and pathogenesis. The authors present a 22-year old patient in whom a right-sided skin overhang of the upper eyelid caused visual field impairment. The condition was corrected by a standard blepharoplasty. The histological examination suggested a localised anomaly of the lymphatic system and an almost complete absence of elastic fibres as the causative agent.
Topics: Adult; Blepharoplasty; Edema; Eyelid Diseases; Humans; Male; Patient Satisfaction; Reoperation; Visual Fields
PubMed: 12859930
DOI: 10.1016/s0007-1226(03)00108-5 -
Scientific Reports Mar 2021Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the... (Observational Study)
Observational Study
Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.
Topics: Adult; Edema; Face; Female; Head and Neck Neoplasms; Humans; Lymphatic Vessels; Lymphoscintigraphy; Male; Middle Aged; Postoperative Complications; Radiopharmaceuticals; Single Photon Emission Computed Tomography Computed Tomography; Technetium Tc 99m Aggregated Albumin
PubMed: 33742036
DOI: 10.1038/s41598-021-85835-w -
Journal Der Deutschen Dermatologischen... Mar 2004Because of the lifelong and often progressive course and the mental trauma to the patients, lipoedema is an important dermatologic disorder. Complex physical therapy... (Review)
Review
Because of the lifelong and often progressive course and the mental trauma to the patients, lipoedema is an important dermatologic disorder. Complex physical therapy programs were introduced as a standard therapy years ago and can achieve an impressive oedema reduction. Liposuction in tumescent local anesthesia with vibrating microcannulas has proved to be a new effective treatment. A targeted and permanent reduction of the fat tissue leads to an increased quality of life due to an improved appearance, reduced tendency to swelling and less pain.
Topics: Adipose Tissue; Edema; Humans; Lipectomy; Lymphedema; Obesity; Physical Therapy Modalities; Practice Guidelines as Topic; Practice Patterns, Physicians'; Prognosis; Syndrome
PubMed: 16281634
DOI: 10.1046/j.1439-0353.2004.04051.x -
Veterinary Pathology Mar 1981After injury to the left foreleg, a 2 1/2-year-old Great Dane bitch developed severe oedema of the limb, which did not respond to pressure bandaging or a proteolytic...
After injury to the left foreleg, a 2 1/2-year-old Great Dane bitch developed severe oedema of the limb, which did not respond to pressure bandaging or a proteolytic agent. Skin breakdown occurred over the metacarpal region and lymph could be expressed from this lesion. The oedema spread, anaemia and dyspnoea developed and the animal died of respiratory insufficiency 55 days after the initial injury. Autopsy showed widespread infiltration of subcutis, fascial planes and some muscles of the leg by invasive cords and sheets of small endothelial-type cells which formed channels sometimes filled with blood. There was widespread diffuse metastatic neoplasm throughout the lung but no cavernous blood sinus formation. There were small metastases in local lymph nodes, kidney, bone marrow and spleen. It was concluded that the injury made obvious an oedema caused by pre-existing angiosarcoma.
Topics: Animals; Dog Diseases; Dogs; Edema; Female; Forelimb; Lymphangiosarcoma; Lymphatic Metastasis; Wounds, Nonpenetrating
PubMed: 7467082
DOI: 10.1177/030098588101800210 -
British Journal of Community Nursing Oct 2015Red legs (RL) is a chronic inflammatory condition often misdiagnosed as cellulitis. Antibiotic therapy is not required and does not resolve the symptoms. The main causes... (Review)
Review
Red legs (RL) is a chronic inflammatory condition often misdiagnosed as cellulitis. Antibiotic therapy is not required and does not resolve the symptoms. The main causes of RL are chronic dermatological and venous disease, including chronic oedema. Raising awareness of this condition among health professionals could prevent misdiagnosis and unnecessary costly and potentially harmful antibiotic therapy. The aim of this paper is to highlight the differential diagnoses and management of red legs, and the author also includes an example through a case history.
Topics: Cellulitis; Dermatitis; Diagnosis, Differential; Edema; Fasciitis, Necrotizing; Humans; Leg Dermatoses; Risk Factors; Scleroderma, Localized; Venous Thrombosis
PubMed: 26418399
DOI: 10.12968/bjcn.2015.20.10.474 -
American Journal of Kidney Diseases :... May 1994Despite wide variations in dietary NaCl intake, homeostatic mechanisms ensure that renal NaCl excretion matches intake at steady state. This does not imply, however,... (Review)
Review
Despite wide variations in dietary NaCl intake, homeostatic mechanisms ensure that renal NaCl excretion matches intake at steady state. This does not imply, however, that extracellular fluid volume is maintained within narrow limits. In contrast with blood pressure, which appears to be tightly controlled, extracellular fluid volume varies significantly, even in normal individuals, when dietary NaCl intake changes. Cardiac, liver, or renal disease can perturb the relationship between NaCl intake and extracellular fluid volume and lead to symptomatic edema. All major classes of diuretic drugs in use today were developed between 1950 and 1970. These drugs were developed empirically, without knowledge of specific ion transport pathways, but experimental work during the past 15 years has shown that each major class of diuretic inhibits a specific ion transport protein in the kidney. These transport proteins have been characterized physiologically and the mechanisms by which each diuretic drug inhibits ion transport have been defined. Antibodies directed against these transport proteins have localized ion transport pathways to specific cell types along the nephron. Most recently, isoforms of each class of diuretic-sensitive Na transport pathway have been cloned. Ongoing experimental work is aimed at exploring relationships between families of transporters, determining the structural prerequisites for ion transport, and studying molecular mechanisms of transport regulation. Treatment of edema with diuretics is often straightforward, but can lead to adaptive changes in nephron structure and function. These adaptations can limit the effectiveness of diuretic drugs; maneuvers aimed at blocking these processes can be effective approaches to patients who are resistant to diuretic drugs.
Topics: Animals; Diuretics; Drug Resistance; Edema; Humans; Kidney; Natriuresis
PubMed: 8172204
DOI: 10.1016/s0272-6386(12)70272-x