[34F] Experiencing facial swelling, redness, and associated symptoms

Patient Description

A 34-year-old female has been experiencing episodes of facial swelling, particularly affecting the cheeks and jawline, for the past two years. These episodes, which occur at least monthly and last about a week, are often preceded by a bright red rash and severe dryness and irritation of the skin, especially on the face. The patient also reports persistent fatigue and increased irritability and overstimulation coinciding with the swelling episodes. The patient has a history of asthma since age 7 and is currently taking Albuterol as needed and Cetirizine. She has allergies to many antibiotics. No recent changes in medication or known triggers have been identified for these symptoms.

Show More

Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Lupus: This is an autoimmune disease that causes your immune system to attack your own tissues, causing inflammation and damage. Symptoms can include fatigue, joint pain, rash, and swelling in the face. The rash often appears on the face and may resemble a butterfly, covering both cheeks and the bridge of the nose. The rash can be preceded by a feeling of itchiness.

    • Treatment typically involves medications to manage symptoms and prevent flare-ups, such as anti-inflammatory drugs, steroids, and immunosuppressants.
  • Angioedema: This is a condition characterized by deep swelling beneath the skin, often as a reaction to a medication or substance. It can cause sudden and severe swelling, redness, and itching. However, angioedema usually causes more acute symptoms, and it's less likely given the chronic nature of your symptoms.

    • Treatment typically involves avoiding the triggering substance, and medications to manage symptoms, such as antihistamines or steroids.
  • Rosacea: This is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. The signs and symptoms may flare up for weeks to months and then go away for a while.

    • Treatment typically involves medications to manage symptoms, such as topical drugs that reduce redness or that can help clear up the bumps associated with rosacea.

What you can do

  1. Consult a doctor: Given the chronic nature of your symptoms and their impact on your quality of life, it would be best to consult a doctor for a formal assessment. They may refer you to a specialist such as a dermatologist or rheumatologist, and order relevant tests if necessary.

  2. Keep a symptom diary: Documenting when your symptoms occur, their severity, and any potential triggers (such as stress or certain foods) can help your doctor in diagnosing your condition.

  3. Skin care: Continue to take care of your skin. Avoid harsh skin products and use a moisturizer suitable for dry skin. Protect your skin from the sun and harsh weather.

What you should look out for

If you notice any of the following symptoms, seek medical attention immediately:

  • Difficulty breathing or swallowing
  • Swelling of the lips, tongue, or throat
  • Chest pain
  • A rash covering your body
  • Joint pain or swelling

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are the common symptoms of lupus?

Common symptoms of lupus include fatigue, joint pain, skin rashes (often a butterfly-shaped rash on the face), swelling, and sensitivity to sunlight. Other symptoms can include fever, hair loss, and mouth ulcers.


How can angioedema be distinguished from other causes of facial swelling?

Angioedema is characterized by sudden and severe swelling beneath the skin, often accompanied by redness and itching. It is usually acute and can be triggered by allergens or medications, unlike chronic conditions which have persistent symptoms.


What are the typical treatments for rosacea?

Typical treatments for rosacea include topical medications to reduce redness and inflammation, oral antibiotics for more severe cases, and lifestyle changes to avoid triggers. Laser therapy may also be used to reduce visible blood vessels.


How can a symptom diary help in diagnosing chronic conditions?

A symptom diary helps in diagnosing chronic conditions by providing detailed information on the timing, severity, and potential triggers of symptoms. This can assist healthcare providers in identifying patterns and making more accurate diagnoses.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback