DefinitionThis section has been translated automatically.
Polyätiologic, acute or chronic, diffuse or localized, red or skin-colored, painful or painless swelling of the face with or without general symptoms (e.g. fever or internal diseases).
ClassificationThis section has been translated automatically.
- The differential diagnostic considerations can be structured according to the following algorithm:
- Localization of the swelling (e.g. eyelid, cheek, lip, forehead)
- Type of swelling:
- localized
- diffuse (evenly distributed).
- Acute:
- acute = < 6 weeks
- chronic = > 6 weeks.
- Color:
- red
- non-red.
- Painfulness:
- yes
- no.
- General symptoms:
- e.g. fever, swelling of lymph nodes
- e.g. acute or chronic internal diseases.
- Clinical disease states or symptoms:
- Diffuse, acute, red, facial swelling
- Erysipelas
- Initial Zoster
- Initial or accompanying phenomenon in infectious exanthema (e.g. viral exanthema (see below Exanthema (DD)
- Diagnostic symptom for erythema infectiosum (slap face)
- Angioedema
- hereditary angioedema
- Diffuse, acute and/or chronic facial swelling in dermatomyositis or systemic scleroderma
- Urticaria (acute)
- Erythrophobia (Erythema e pudore)
- Flush Phenomena
- Contact allergic or toxic eczema of the face (also collateral in acute eczema of the capillitium e.g. after dyeing of the hair or after excessive UV exposure of the face).
- Diffuse, chronic, red, facial swelling:
- rosacea erythematosa
- rosacea fulminans
- acne conglobata
- acne fulminans
- Infant cutaneous hemangioma (swelling depending on the location; e.g. cheek, lip, eyelid)
- Diffuse, acute and/or chronic facial swelling:
- Dermatomyositis
- systemic scleroderma
- Erythema perstans faciei
- M. Morbihan
- Urticaria (chronic)
- Edema in chronic alcoholism (see below alcohol, skin changes and ethylica facies)
- Melkersson-Rosenthal syndrome.
- Diffuse, acute/chronic, non-red, facial swelling:
- Infant subcutaneous hemangioma (swelling depending on location; e.g. cheek, lip, eyelid)
- Facial edema in nephritis and nephrosis (see also kidney diseases, skin changes)
- Facial edema in chronic terminal renal failure
- Facial edema with thyroid dysfunction
- Plaque-like, cutaneous mucinosis (see below [ mucinosis(s)])
- Facial edema due to influence congestion
- Facies lunata as a symptom of Cushing's syndrome
- Hunger Edema
- Pseudoedema in facial nerve palsy
- (Post-)Traumatic edema (persistent swelling after severe facial trauma)
- Postoperative facial edema (persistent collateral swelling of the face after major flap plasty in the facial area).
- "Thick cheek" (acute/chronic):
- Swelling of the parotid gland of different aetiology (DD: diseases of the parotid gland)
- Acute apical periodontitis (often with an avital tooth)
- Dentitio difficile (difficult eruption of a wisdom tooth)
- Root granulomas with fistula formation
- Chronic osteomyelitis
- Parulis
- Emphysema (e.g. after dental treatment, e.g. by dry blowing a reamed root canal)
- Fistula formation after lymph node tuberculosis
- Actinomycosis (type of cervico-facial actinomycosis).
- Swelling of the lips (acute/chronic):
- Collateral lip swelling in aphthae of different aetiology
- Herpes simplex labialis (see below Herpes simplex recidivans)
- Lip Furuncle
- cheilitis granulomatosa
- Ashtray Syndrome
- Chronic cheilitis glandularis
- Tapir snout
- Carcinoma, carcinoma of the lips.
TherapyThis section has been translated automatically.
- Detection and elimination of the cause, if necessary careful internal or allergological clarification.
- In case of morning swellings: cooling compresses, e.g. compresses soaked with black tea. Cool packs" are possible as an alternative.
- For the therapy of eyelid swellings see there.
Outgoing links (35)
Acne conglobata; Acne fulminans; Actinomycosis; Alcohol skin changes; Angioedema hereditary; Angioedema (overview); Aphthae (overview); Ashtray syndrome; Boils; Cheilitis glandularis (overview); ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.