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Swelling of the Eyes Leo Leonidas MD, FAAP
WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis listing. There is a mother in my practice who after reading about Tics in the Internet became extremely worried and vowed not to visit the Internet again and read about her son's health problem. Sometimes too much information is not good for our emotional health if we happen to be a worrier.
CAUSES OF SWELLING OF THE EYE
SYSTEMIC CAUSES
Kidney Diseases (glomerulonephritis and nephrosis) Thyroid Diseases Heart Disease (congestive heart failure) Localized Scheroderma
INFECTIONS
Infectious Mononucleosis Trichinosis Scarlet Fever Rocky Moutain Spotted Fever Malaria Trypanosomiasis Onchocerciasis (Filariasis) Roseola Diphtheria
TUMORS
Leukemia Neuroblastoma Neurofibromas Hemangioma Lymphangioma
INFLAMMATORY CAUSES
Orbital and Periorbital Cellulitis Sinusitis Conjunctivitis Erysipelas Cat-Scratch Fever Herpes Zoster Iridocyclitis Dacryocystitis Contact Dermatitis Chalazion or Stye Cavernous Sinus Thrombosis Dental Abscess Myiasis Vaccinia Anthrax Syphilis Tularemia Chronic Epstein-Barr Virus Infection
NONINFLAMMATORY CAUSES
Acute Glaucoma Serum Sickness Drug Induced Swelling Angioneurotic Edema Allergic Reaction to Foods Other Allergens Foreign Proteins from Parasites
TRAUMATIC CAUSES
Insect Bites Injuries Foreign Bodies
OTHER CAUSES
Subcutaneous Emphysema Superior Vena Cava Syndrome Sickle Cell Disease Rifampin Toxicity Cutis Laxa Vasociliary Syndrome (Charun Syndrome) Melkersson-Rosenthal Syndrome
REFERENCE: Signs & Symptoms In Pediatrics 2nd Edition, page 175 Tunnessen, Jr
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP Assistant Clinical Professor in Pediatrics Tufts University School of Medicine, Boston Attending Pediatrician Eastern Maine Medical Center, Bangor
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