What Causes Generalized Eyelid Swelling?
Patient Presentation A 3-year-old male comes to clinic with complaints of 2 weeks of intermittent eye swelling. The mother describes that there is slight puffiness in the lower outer corners of both eyes intermittently and that the father has also noted this. It was noticed ~5 times during the 2 weeks. There is not a time of day when it appears to occur more often. It lasts for an unknown period of time. There has been no swelling of the extremities, difficulties in putting on shoes or clothes, and no swelling of the hands or feet. The past medical history is positive for urticaria of unknown cause several months previous. The family history is negative for heart, kidney, liver, or oncological disease. There was hearing loss in an elderly relative. His social history reveals that he began child care ~1 month ago. The review of systems is negative for recent illnesses, allergic symptoms, itching, eating well with no weight loss, fevers, night sweats/chills, urinary or gastrointestinal c
