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Pathology Quiz Case 1
Richard A. Zoumalan, MD;
Monica N. Okun, MD;
Luc G. Morris, MD;
Arnold Komisar, MD
New York University School of Medicine, New York, New York
Arch Otolaryngol Head Neck Surg. 2007;133(10):1062.
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A 57-year-old woman presented with a 2-day history of facial swelling. Her medical history was significant for rheumatoid arthritis (diagnosed in 2004), depression, and asthma. She denied any recent medication changes, insect bites, or trauma. She repeatedly denied a history of facial or lip injections or implants. Her medications included methotrexate, quetiapine fumarate (Seroquel), diazepam (Valium), zolpidem tartrate (Ambien), prednisone, and albuterol nebulizer; she also occasionally used cod-liver oil on her skin.
Physical examination revealed that the patient was febrile (to 39.3°C), with stable vital signs. She had edematous lips and tense, tender bilateral facial edema, with erythema extending from the zygoma to the clavicle (Figure 1). Saliva was expressed from submandibular and parotid ducts. The results of a battery of laboratory tests (white blood cell count, blood cultures, SS-A, SS-B, C1 esterase, . . . [Full Text of this Article]
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Pathology Quiz Case 1—Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(10):1064.
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