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To the Editor.—
In a recent Society Transactions of the Archives, a case of periorbital edema was discussed (110:140, 1974). Thyroid disease was briefly considered. We wish to describe a similar case that has proved educational.In November 1971, a 63-year-old woman developed swelling of the eyelids. An ophthalmologist was consulted, and a topical antibiotic-steroid preparation was prescribed. The condition persisted, and she was seen by us about one month after onset. The patient complained of swelling only, with no other symptoms referable to the eyes. Examination showed definite symmetrical edema of lower and upper eyelids, without signs of inflammation. The conjunctivas were normal without redness or swelling, and exophthalmos was not clinically apparent. A detailed history and physical examination revealed only moderate arthritis of the interphalangeal joints of the left thumb and forefinger. There was mild xerosis of the lower extremities. The hands were noted to be
Eichwald M, Merhoff H. Periorbital Edema. Arch Dermatol. 1975;111(5):656. doi:10.1001/archderm.1975.01630170114020