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periorbital edema
Edema around the orbit of the eye.
Etiology:
1) hypertensive kidney disease [3]
2) orbital cellulitis vs orbital abscess
3) thyroid disorders
a) hyperthyroidism (Graves' disease)
b) hypothyroidism
4) dermatomyositis
5) sinusitis
6) helminth infection
a) Dracunculus medinensis (Guinea worm)
b) trichinosis
7) relapsing polychondritis
8) neoplasm
- Kaposi's sarcoma
9) proteinuria (also peripheral edema)
10) pharmaceutical agents
a) cabergoline
b) lypressin
Clinical manifestations:
- proptosis, ophthalmoplegia & pain with extraocular muscle present in ~50% of children with orbital abscess [2]
Radiology:
- computed tomography of the orbit
General
orbital disease
edema (swelling, tumefaction, tumescence)
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Rudloe TF et al.
Acute periorbital infections: Who needs emergent imaging?
Pediatrics 2010 Apr; 125:e719.
PMID: 20194288
http://dx.doi.org/10.1542/peds.2009-1709
- Medical Knowledge Self Assessment Program (MKSAP) 16,
American College of Physicians, Philadelphia 2012