A 57-year-old woman presented with a 2-day history of facial swelling. Her medical history was significant for rheumatoid arthritis (diagnosed in 2004), depression, and asthma. She denied any recent medication changes, insect bites, or trauma. She repeatedly denied a history of facial or lip injections or implants. Her medications included methotrexate, quetiapine fumarate (Seroquel), diazepam (Valium), zolpidem tartrate (Ambien), prednisone, and albuterol nebulizer; she also occasionally used cod-liver oil on her skin.
Zoumalan RA, Okun MN, Morris LG, Komisar A. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2007;133(10):1062. doi:10.1001/archotol.133.10.1062