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A 72-year-old woman with periorbital swelling.
- Source :
-
Allergy and asthma proceedings [Allergy Asthma Proc] 2020 Jan 01; Vol. 41 (1), pp. e33-e36. - Publication Year :
- 2020
-
Abstract
- As allergists, we are frequently consulted to evaluate patients with swelling presumed to be angioedema. Patients with presumed angioedema can have multiple possible underlying triggers. We present the case of a hospitalized 72-year-old woman with a history of hypertension and metastatic chordoma who developed marked periorbital swelling that precluded eye opening 2 days after a neurosurgical operation (chordoma resection and T10-11 hardware repair). After a detailed evaluation of her swelling, a broad differential diagnosis was made; she did not respond to high-dose antihistamines, systemic steroids, icatibant and angiotensin-converting enzyme inhibitor cessation. Ultimately, computed tomography imaging confirmed a specific diagnosis. The differential diagnosis for swelling is complex, and this case illustrated the importance of considering alternative causes of swelling when evaluating cases of possible angioedema.
Details
- Language :
- English
- ISSN :
- 1539-6304
- Volume :
- 41
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Allergy and asthma proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 31888792
- Full Text :
- https://doi.org/10.2500/aap.2020.41.190004