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Facial swelling - Overview

Alternative Names

Puffy face; Swelling of the face; Moon face; Facial edema

Definition of Facial swelling:

Facial swelling is the build-up of fluid in the tissues of the face. Swelling may also affect the neck and upper arms.

Considerations:

If the facial swelling is mild, it may be hard to detect. To assist the health care provider in diagnosing the cause, it is important to note the following:

Pain, and where it hurts
How long the swelling has lasted
What makes it better or worse
If you have other symptoms

Common Causes:

Allergic reaction (such as allergic rhinitis, hay fever, or a bee sting)
Angioedema
Blood transfusion reaction
Cellulitis
Conjunctivitis (inflammation of the eye)
Drug reactions, including those due to aspirin, penicillin, sulfa, glucocorticoids, and others
Head, nose, or jaw surgery
Injury or trauma to the face (such as a burn)
Malnutrition (when severe)
Obesity
Salivary gland disorders
Sinusitis
Stye with swelling around the infected eye
Tooth abscess

Edema, central on the face

Reviewed last on: 2/6/2011
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Habif TP. Urticaria and angioedema. In: Habif TP. Clinical Dermatology. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 6.

Amsterdam JT. Oral medicine. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 68.

Sharma R, Brunette DD. Ophthalmology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 69.

Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 70.

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