Facial swelling
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.
- Differential diagnostic considerations can be organized according to the following algorithm:
- localization of the swelling (e.g. eyelid, cheek, lip, forehead)
- Type of swelling:
- localized
- diffuse (evenly distributed).
- Acuity:
- 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 concomitant phenomenon in infectious exanthema (e.g., viral exanthema (see below Exanthem (DD)
- Diagnostic symptom in erythema infectiosum (ear slap face)
- Angioedema
- Hereditary angioedema
- Diffuse, acute and/or chronic facial swelling in dermatomyositis or systemic scleroderma
- Urticaria (acute)
- Erythrophobia (erythema e pudore)
- Flushing phenomena
- Contact allergic or toxic eczema of the face (also collateral in acute eczema of the capillitium e.g. after dyeing the hair or after excessive UV exposure of the face).
- Diffuse, chronic, red, facial swelling:
- Rosacea erythematosa
- Rosacea fulminans
- Acne conglobata
- Acne fulminans
- Cutaneous hemangioma of the infant (swelling depending on 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 lesions and facies ethylica)
- Melkersson-Rosenthal syndrome.
- Diffuse, acute/chronic, non-red, facial swelling:
- Subcutaneous hemangioma of infant (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 in thyroid dysfunction
- Plaque-like cutaneous mucinosis (see below [ Mucinosis(s)])
- Facial edema in influence congestion
- Facies lunata as a symptom of Cushing's syndrome
- Hunger edema
- Pseudoedema in facial paresis
- (Post-)traumatic edema (persistent swelling after severe facial trauma)
- Postoperative facial edema (persistent collateral swelling of the face after major facial flap plastic surgery).
- "fat cheek" (acute/chronic):
- Swelling of the parotid gland of various etiologies (DD: diseases of the parotid gland).
- Acute apical periodontitis (common in 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. due to dry blowing of a reamed root canal)
- Fistula formations after lymph node tuberculosis
- Actinomycosis (type of cervico-facial actinomycosis).
- Lip swelling (acute/chronic):
- Collateral lip swelling due to aphthae of different etiology
- Herpes simplex labialis (see below Herpes simplex recidivans)
- Furuncle of the lip
- Cheilitis granulomatosa
- Ascher syndrome
- Chronic cheilitis glandularis
- Tapir snout
- Carcinoma, carcinoma of the lip.
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.