Edema facial recurrente

If not angioedema, what is it? Diagnostic approach to facial edema

“…37 It may present as nodules, plaques, or erythematous-violaceous macules depending on the degree of infiltration; however, there are published cases in which the primary clinical manifestation are episodes of indurated, progressive, pitting facial edema, as opposed to classic angioedema. 37,38 Persistent facial edema is rare, but it is a diagnosis to consider. Histopathological examination is the definitive diagnosis.…”

“…Histopathological examination is the definitive diagnosis. 38 Clinical differential diagnosis includes vascular tumors such as hemangioma or Kaposi's sarcoma, cutaneous lymphoma and pseudolymphoma, cutaneous metastases, or angiomatoid fibrohistiocytoma. 37,38 Radical surgery followed by adjuvant radiotherapy is the treatment of choice in resectable cases.…”

“…38 Clinical differential diagnosis includes vascular tumors such as hemangioma or Kaposi's sarcoma, cutaneous lymphoma and pseudolymphoma, cutaneous metastases, or angiomatoid fibrohistiocytoma. 37,38 Radical surgery followed by adjuvant radiotherapy is the treatment of choice in resectable cases. If the tumor is unresectable and/or there is metastatic disease, chemotherapy is the treatment of choice.…”

“…If the tumor is unresectable and/or there is metastatic disease, chemotherapy is the treatment of choice. 38…”

Wenn es kein Angioödem ist, was dann? Diagnostisches Vorgehen bei Gesichtsödemen

“…Es gibt jedoch veröffentlichte Fälle, in denen Episoden von verhärteten, progressiven, eindrückbaren Gesichtsödemen die primäre klinische Manifestation darstellen, im Gegensatz zu klassischen Angioödemen. 37,38 Anhaltende Gesichtsödeme sind selten, aber es ist eine Diagnose, die in Betracht gezogen werden sollte. Die endgültige Diagnose wird durch eine histopathologische Untersuchung gestellt.…”