A 32-year-old woman, with a normal BMI, no smoking habits, good appetite and exercise regularly. She was not atopic and did not have drug allergies or any significant family history. She suffered from tonsillitis as a child but not warranted a tonsillectomy. She came to the surgery two years ago with shingles of the face. This settled but left her with intermittent symptoms of trigeminal neuralgia. A few months later she had a sore throat and felt unwell.
She developed puffy eyes, swelling of her nose, cheeks, and lips to the point that her normal facial features were excluded. There was no swelling of the tongue and no respiratory distress. What could be the most probable diagnosis for this swelling? * This image based case is from Docplexus editorial team for educative purpose only. Source: Haymarket group