Isolated Swelling of the Uvula in a 2-year-old Girl
| Autor: | Anna Kujawska George, Katelyn N. Purvis, Ana C. Xavier |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sneeze medicine.diagnostic_test business.industry Physical examination Atopic dermatitis medicine.disease Dermatology Throat culture Uvula Eye examination Child Preschool Pediatrics Perinatology and Child Health Prednisolone Edema Humans Medicine Female Medical history medicine.symptom Family history business medicine.drug |
| Zdroj: | Pediatrics In Review. 42:151-152 |
| ISSN: | 1526-3347 0191-9601 |
| DOI: | 10.1542/pir.2019-0284 |
| Popis: | 1. Katelyn N. Purvis* 2. Anna Kujawska George, MD† 3. Ana C. Xavier, MD, PhD‡ 1. *University of Alabama School of Medicine, Birmingham, AL 2. †Sneeze Allergy of Texas, The Woodlands, TX 3. ‡Division of Hematology/Oncology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL A previously healthy 2-year-old girl presented to the hospital with 2 weeks of decreased appetite and hoarseness, quickly followed by a refusal to speak or eat. On physical examination at the time of admission the patient was well-appearing and well-nourished. Eye examination revealed mild bilateral conjunctival injection with minimal eye drainage. On inspection of the oropharynx, her uvula was noted to be erythematous and uniformly enlarged. White patches were present on the surface of the uvula, which was lobular in appearance. No lymphadenopathy was appreciated, and the remainder of her physical examination findings were within normal limits. Laboratory analysis disclosed normal initial evaluation findings, including a complete blood cell count, throat culture, and C2, C4, and C1 esterase inhibitor levels. Her medical history was notable only for mild atopic dermatitis and surgery for left lacrimal duct stenosis at 1 year of age. Her family history was noncontributory to her present state of illness. Two weeks earlier, on the second day of her illness, the patient was taken to her primary care physician. At that time, a throat culture was obtained, and the patient was empirically treated with amoxicillin, cetirizine, and a single dose of subcutaneous epinephrine. The throat culture was negative for group A streptococcus, and amoxicillin therapy was discontinued. The patient was subsequently started on prednisolone. … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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