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Eyelid Swelling

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181. Bilaterally Diffuse Lacrimal Gland Involvement: Initial Presentation of Systemic Sarcoidosis (PubMed)

Bilaterally Diffuse Lacrimal Gland Involvement: Initial Presentation of Systemic Sarcoidosis Orbital involvement in systemic sarcoidosis is a rare condition. We report a case of orbital sarcoidosis with bilaterally huge lacrimal gland involvement as the initial manifestation of systemic sarcoidosis. A 20-year-old woman admitted the ophthalmology department with progressive bilateral upper eyelid swelling for 6 months. The only pathologic finding was the presence of bilateral, symmetrical, solid (...) , lobular masses at the lateral upper eyelids at the location of lacrimal glands. On systemic examination, bilateral parotid and submandibular glands appeared swollen. Magnetic resonance imaging of the orbit revealed bilateral symmetrical diffuse enlargement of the lacrimal glands with maximum and minimum thickness of 11 mm and 7 mm, respectively. The biopsy findings were compatible with sarcoidosis. Although lacrimal gland involvement has been reported in different studies, we for the first time report

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2017 Turkish Journal of Ophthalmology

182. Meibography for eyes with posterior blepharitis (PubMed)

of dryness was performed including slit lamp examination looking for signs of posterior blepharitis, tear breakup time (TBUT), superficial punctate keratopathy (SPK), Schirmer II test (with anesthesia) and meibum score. Non-contact meibography was performed for both upper and lower eyelids using the meibo-grade system which involved distortion of meibomian gland, shortening and dropout.Lid margin abnormalities (Telangiectasia, lid margin swelling and hyperemia) were all significantly higher

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2017 Saudi Journal of Ophthalmology

183. Cavernous hemangioma of the orbit: an unusual acute presentation (PubMed)

Cavernous hemangioma of the orbit: an unusual acute presentation We report an unusual presentation of an orbital cavernous hemangioma in a 26-year-old female, who noted sudden redness and swelling of the left eye (LE) on waking up. At presentation, upper eyelid edema with periorbital ecchymosis and subconjunctival hemorrhage were noted in the LE. Although there was transient symptomatic relief with topical medications, blurring of vision developed in the LE. When seen 10 days later

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2017 International medical case reports journal

184. A B-cell lymphoma case that is unclassifiable, and intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma of lacrimal gland (PubMed)

A B-cell lymphoma case that is unclassifiable, and intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma of lacrimal gland A 60-year-old woman presented with acute eyelid swelling and a subcutaneous hemorrhage in the right eye. Magnetic resonance imaging showed a spherical tumor of the lacrimal gland. The tumor was removed by the Kroenlein method. We diagnosed as a B-cell lymphoma that is unclassifiable, and intermediate between diffuse large B-cell lymphoma (DLBCL

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2017 International medical case reports journal

185. Ocular metastasis from breast carcinoma simulating anterior scleritis: a case report (PubMed)

for stage IIIc left-sided breast cancer 2 years ago with six cycles of chemotherapy with docetaxel, adriamycin, and cyclophosphamide after undergoing modified radical mastectomy. An ophthalmic examination revealed a tender subconjunctival swelling superotemporally on retracting right upper eyelid. This finding alone indicated anterior scleritis. On examining fundus under mydriasis, an amelanotic subretinal mass could be visualized in the posterior pole superotemporal to macula. An orbital magnetic

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2017 Journal of medical case reports

186. Gibberellin‐regulated protein in Japanese apricot is an allergen cross‐reactive to Pru p 7 (PubMed)

IgE against apricot, peach, rPru p 1, rPru p 3, and rPru p 4 was 14.3%, 57.1%, 0%, 0%, and 0%, respectively. Patients developed allergic reactions that were frequently accompanied with facial swelling, especially of the eyelids, which was dependent on cofactors, such as exercise.These results indicated that GRP might be a causative allergen of JA allergy, whose onset frequently requires a cofactor, such as exercise, and might be cross-reactive between JAs and peaches.© 2017 The Authors. Immunity

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2017 Immunity, Inflammation and Disease

187. Optimal management of Graves orbitopathy: a multidisciplinary approach. (PubMed)

. Graves' orbitopathy is characterised by a wide open eye appearance, caused by upper eyelid retraction and soft-tissue swelling that causes exophthalmus. Symptoms include photophobia, sandy feeling in the eye, painful eye movements and diplopia. Visual acuity may be reduced. In some cases emergency treatment is necessary to prevent irreversible vision loss. Smoking should be stopped. Mild to moderate Graves' orbitopathy may be an indication for corticosteroid treatment or radiotherapy. Once

2017 Netherlands Journal of Medicine

188. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

breath, fatigue, headache, and decreased appetite, although common, are not specific indicators of acute sinusitis. Physical examination findings are also not particularly helpful in distinguishing sinusitis from uncomplicated URIs. Erythema and swelling of the nasal turbinates are nonspecific findings. Percussion of the sinuses is not useful. Transillumination of the sinuses is difficult to perform correctly in children and has been shown to be unreliable. , Nasopharyngeal cultures do not reliably (...) , several investigators in the 1970s and 1980s observed that children with uncomplicated viral URI had frequent abnormalities of the paranasal sinuses on plain radiographs. – These abnormalities were the same as those considered to be diagnostic of acute bacterial sinusitis (diffuse opacification, mucosal swelling of at least 4 mm, or an air-fluid level). As technology advanced and CT scanning of the central nervous system and skull became prevalent, several studies reported on incidental abnormalities

2013 American Academy of Pediatrics

190. Bell's palsy

incompetence and an inability to close the eyelid, leading to potential eye injury. Additional long-term poor outcomes do occur and can be devastating to the patient. Treatments are generally designed to improve facial function and facilitate recovery. There are myriad treatment options for Bell’s palsy, and some controversy exists regarding the effectiveness of several of these options, and there are consequent variations in care. In addition, numerous diagnostic tests available are used in the evaluation (...) palsy is a rapid unilateral facial nerve paresis (weakness) or paralysis (complete loss of movement) of unknown cause. The condition leads to the partial or complete inability to voluntarily move facial muscles on the affected side of the face. Although typically self-limited, the facial paresis/paralysis that occurs in Bell’s palsy may cause significant temporary oral incompetence and an inability to close the eyelid, leading to potential eye injury. Additional long-term poor outcomes do occur

2013 American Academy of Otolaryngology - Head and Neck Surgery

191. Acute Rhinosinusitis in Adults

, infraorbital hypesthesia, altered mental status, significant facial swelling, diplopia, ptosis, chemosis (swelling of tissue lining eyelid and eye surface), proptosis, and pupillary or extraocular movement abnormalities. Medical Therapy Decision to use antibiotics. As noted in Table 2, approximately 70% of patients with acute bacterial rhinosinusitis improve within 2 weeks without antibiotics; approximately 85% improve with appropriate antibiotics. The incidence of severe complications and progression from (...) . Patients that are evaluated by a specialist for an active and recurrent infection may benefit from endoscopic cultures of the discharge as it exits the sinuses, in order to guide antibiotic therapy. Dental sinusitis. Clues for dental source include poor oral health, single tooth sensitivity or pain, facial swelling, and foul nasal odors. Complications. Signs and symptoms worrisome for intracranial or orbital extension of infection include high fever, severe pain, worsening headache, meningeal signs

2013 University of Michigan Health System

192. Management of suspected viral encephalitis in children

| | | • Airways, Breathing, Circulation • Mini-mental state, cognitive function, behaviour (when possible) • Evidence of prior seizures (tongue biting, injury) • Subtle motor seizures (mouth, digit, eyelid twitching) • Meningism • Focal neurological signs • Papilloedema • Flaccid paralysis (anterior horn cell involvement) • Rash (purpuric – meningococcus; vesicular – hand foot and mouth disease; varicella zoster; rickettsial disease) • Injection sites of drug abuse • Bites from animals (rabies) or insects

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2012 British Infection Association

193. Infections Associated with Personal Service Establishments: Piercing and Tattooing

piercing device was manually removed from ear after it failed to disengage properly during procedure; • Abscess had formed around the site and Pseudomonas aeruginosa was isolated from the pus; • Required reconstructive surgery. Farah & Harmon (1998) 23 Unknown tongue 1 • 25-year old female presented with inflamed tongue within 1 week of obtaining piercing; • Swelling began within 6-8 hours of piecing and progressed within next 2-3 days. Ferringer et al. (2008) 22 Mycobacterium spp eyebrow; navel 2 (...) on (1997) 19 Pseudomonas and Staphylococcus high ear (cartilage) 2 • Case 1: 14-year old girl presented with infection 2.5 weeks after receiving piercing; admitted to hospital after swelling, erythmea, tenderness developed at site; • Case 2: 16-year old girl presented with infection 2 days after receiving cartilage piercing. Trupiano et al. (2001) 76 Mycobacterium abscessus nipple 1 • 17-year old female presented with 2 month history of inflammation of right breast; diagnosed as M. abscessus infection

2012 National Collaborating Centre for Environmental Health

194. Maxillofacial trauma

if the patient has blown the nose after the trauma they may report an immediate increase in eyelid swelling. In this case air is blown from the maxillary sinus via the fracture gaps into the orbit. Air crepitus in the periorbital soft tissue is palpable. Patients with suspected orbital fracture should not blow their nose. Figure 5. 3–D reconstruction of a right comminuted zygomatic complex fracture Just as a haematoma under the tongue can be an indicator for a fractured mandible, a subconjunctival haematoma (...) and swelling can mask the extent of the underlying injury. Overlooking a fracture may not have immediate consequences, but can result in disfigurement and permanent disability. Not only does this result in a disgruntled patient, it may affect their ability to continue to perform their occupation. 1 Unfortunately, the incidence of maxillofacial trauma is increasing at an alarming rate. Maxillofacial trauma presentations in 2011 at the Royal Brisbane Hospital (Queensland) have risen 28% in the same 10 month

2012 Clinical Practice Guidelines Portal

196. Hyperthyroidism and Other Causes of Thyrotoxicosis

, necessitating an increase in the total dose of radioactive iodine. Radiation safety precautions may be onerous if high activities of 131 I are needed for large goiters. Pretreatment with MMI to a slightly elevated TSH increased RAIU enough to allow more efficacy from a fixed activity (30 mCi) of 131 I in a recent study of patients with TMNG (167). Use of recom- binant human TSH is not indicated in TMNG due to risk of exacerbating the patient’s hyperthyroidism (168). Technical remarks: Swelling (...) of the thyroid is very rare after 131 I treatment. However, patients should be advised to immediately report any tightening of the neck, difficulty breathing, or stridor following the administration of radio- active iodine. Any compressive symptoms, such as discom- fort, swelling, dysphagia, or hoarseness, which develop 477 following radiotherapy, should be carefully assessed and monitored, and if clinically necessary, corticosteroids can be administered. Respiratory compromise in this setting is extremely

2011 American Association of Clinical Endocrinologists

197. Use of Kaolin-impregnated Gauze for Improvement of Intraoperative Hemostasis and Postoperative Wound Healing in Blepharoplasty. (PubMed)

incision, kaolin-impregnated gauzewas placed in one eyelid wound bed and cotton gauze in the other, then removed. Distinct, individual areas of bleeding were recorded. Standardized photographs were obtained postoperatively on Day 1, 4, and 7. Photographs were graded for edema and ecchymosis by four blinded observers. Patients also completed a survey inquiring which side had more bruising, swelling, and pain at each return visit.A total of 46 patients completed the study. The number of intraoperative (...) Use of Kaolin-impregnated Gauze for Improvement of Intraoperative Hemostasis and Postoperative Wound Healing in Blepharoplasty. Kaolin is a mineral shown to be effective in controlling hemorrhage when combined with standard gauze and applied to wounds. This study investigates the application of kaolin to control intraoperative bleeding and promote wound healing in eyelid surgery.This prospective, randomized, double-blind study recruited patients who underwent eyelid surgery. Following skin

2016 The Journal of clinical and aesthetic dermatology

198. Bifrontal brain abscesses secondary to orbital cellulitis and sinusitis extension (PubMed)

Bifrontal brain abscesses secondary to orbital cellulitis and sinusitis extension Intracranial abscesses are rare and life-threatening conditions that typically originate from direct extension from nearby structures, hematogenous dissemination or following penetrating cerebral trauma or neurosurgery.A 36-year-old male presented to our emergency department with complaints of left eye swelling, headache and drowsiness. On physical exam, the patient was febrile and his left upper eyelid

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2016 International journal of emergency medicine

199. Spindle Cell Variant of Embryonal Rhabdomyosarcoma: A Rare Entity with Diagnostic Challenges (PubMed)

for the pathologist. This problem can be overcome by careful search for rhabdomyoblasts in sections, which are usually few, and Immunohistochemistry for myogenin. In the present case, a 15-year-old female presented with a progressively increasing swelling in the right upper eyelid, which was diagnosed as a rare variant of rhabdomyosarcoma. We have also attempted to discuss its differential diagnosis, and to emphasize the fact that this rare entity may be misdiagnosed.

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2016 Journal of clinical and diagnostic research : JCDR

200. Early Differential Diagnosis of Rhino-Orbito-Cerebral Mucormycosis and Bacterial Orbital Cellulitis: Based on Computed Tomography Findings (PubMed)

2005 and 2013. The medical records of all 34 cases were reviewed. The initial clinical manifestations (eyelid swelling, ptosis, extraocular muscle [EOM] limitation, conjunctival injection, and chemosis) and computed tomography (CT) findings (sinus mucosal thickening, full opacification, and air-fluid level) of both diseases were compared.Patients with diabetes mellitus (DM) and hypertension (HTN) showed higher incidence rates of ROCM than BOC (DM: p < 0.001, HTN: p = 0.036). ROCM cases exhibited (...) more frequent EOM limitation than cases with BOC (100.0% vs. 66.7%, p = 0.024) but less frequent eyelid swelling (35.7% vs. 90.0%, p = 0.002). However, the incidence rates of ptosis, conjunctival injection, and chemosis exhibited no differences between the diseases. Abnormal CT findings were observed in the sinuses of all patients with ROCM, whereas 12 patients with BOC had sinus abnormalities (100.0% vs. 60.0%, p = 0.011). Thickening of the sinus mucosa was more frequent in patients with ROCM than

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2016 PloS one

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