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Chronic Periorbital Swelling in an Elderly Man —Quiz Case
Celia Chen, MB, BS;
Dinesh Selva, FRACO;
Craig James, FRCPA;
Shyamala C. Huilgol, FACD
Royal Adelaide Hospital (Drs Chen, Selva, and Huilgol) and Adelaide Pathology Partners (Dr James), Adelaide, Australia
Arch Dermatol. 2003;139:1075-1080.
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REPORT OF A CASE
A 69-year-old man presented with a 5-month history of painless, nonpruritic right-sided periorbital swelling. He was using no systemic or topical medications, and his medical history was noncontributory. In particular, he denied any history of facial flushing, photosensitivity, Raynaud syndrome, muscle weakness, thyroid disease, night sweats, and respiratory or bowel symptoms. Examination revealed nonpitting preseptal edema of the right upper eyelid, which was associated with erythema and induration of the right upper cheek area. The findings of ocular and orbital examination were unremarkable, with normal extraocular movements and no proptosis. Cranial nerve examination revealed subtle right-sided facial weakness (Figure 1). There were no abnormalities of the tongue or oral mucosa.
Figure appears in full text version.
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The results of the following laboratory studies were normal: complete blood cell count, serum chemistry profile, liver function tests, angiotensin converting enzyme . . . [Full Text of this Article]
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Chronic Periorbital Swelling in an Elderly Man—Diagnosis
Arch Dermatol. 2003;139(8):1075-1080.
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