A clinical challenge case report describing a 66-year-old man with 1 month of progressive, asymmetric bilateral violaceous periorbital edema and erythema, greater on the right side, with associated right eye chemosis and subconjunctival hemorrhage.
The case presents examination findings — including right-sided indurated violaceous discoloration from forehead to cheek involving both eyelids, 20/40 visual acuity bilaterally, and mild temporal chemosis with subconjunctival hemorrhage — as a diagnostic challenge; the confirmed diagnosis is not disclosed in the available text.
Full text is behind a paywall; the diagnosis, workup, and management are not available in the publisher page text provided. No outcome or follow-up data can be extracted.
Violaceous periorbital edema with induration in an older adult warrants a broad differential including inflammatory, infiltrative, and systemic conditions (e.g., dermatomyositis, lymphoma, sarcoidosis, angioedema). Prompt evaluation with imaging and tissue biopsy may be needed to reach a diagnosis.
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