Hoagland sign: bilateral upper eyelid oedema

Blood examination revealed 7% of atypical lymphocytes and acute liver injury with aspartate aminotransferase 439 U/L and alanine aminotransferase 402 U/L, and echography demonstrated hepatosplenomegaly. The differentials of acute bilateral upper eyelid oedema without general oedema reported to also...

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Bibliographic Details
Published in:BMJ case reports 2022-06, Vol.15 (6), p.e250857
Main Authors: Otsuka, Yuki, Kishida, Masayuki
Format: Article
Language:English
Subjects:
Angioedema
Blepharoptosis
Case reports
Edema
Edema - etiology
Epstein-Barr virus
Eyelid Diseases - diagnosis
Eyelids
Fever
Humans
Images In
Mononucleosis
Young adults
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Summary:Blood examination revealed 7% of atypical lymphocytes and acute liver injury with aspartate aminotransferase 439 U/L and alanine aminotransferase 402 U/L, and echography demonstrated hepatosplenomegaly. The differentials of acute bilateral upper eyelid oedema without general oedema reported to also include allergic reactions such as contact dermatitis or angioedema, Kawasaki disease, trichinosis and bilateral periorbital cellulitis.6 7 However, physicians may differentiate them according to associated symptoms and findings. Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2022-250857