An African American man in his 40s was referred for evaluation of a 3-week history of pain and swelling over his right orbit and upper eyelid. Worsening edema prompted his primary care physician to initiate a course of oral methylprednisolone and amoxicillin-clavulanic acid, which did not alleviate the symptoms. Because of persistent swelling, he was referred for further evaluation. The patient denied fevers, chills, purulent drainage, otalgia, or odynophagia. The patient had no history of frequent sinusitis, trauma, or exposure to chemicals, but he did note poor dentition.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Baker N, Chao J, Pearce ZD. Progressive Eyelid Swelling in a Middle-aged Man. JAMA Ophthalmol. Published online November 12, 2020. doi:10.1001/jamaophthalmol.2020.4092
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: