Acute Soft Head Syndrome (Subgaleal Haematoma) with Periorbital Oedema as a Rare Presentation in Sickle Cell Disease.

Eur J Case Rep Intern Med

Adult Hematology Unit, Internal Medicine Department, KFMMC, Dhahran, Kingdom of Saudi Arabia.

Published: July 2020

AI Article Synopsis

  • * A 17-year-old male exhibited symptoms including body aches and swelling on the right side of his head, along with rapid periorbital puffiness, which scans showed to be multiple subgaleal haematomas and edema.
  • * Both conditions are uncommon in sickle cell disease but can be managed conservatively rather than through surgery, as demonstrated in the case of this patient.

Article Abstract

Background: Sickle cell disease is a genetic condition frequently found in Africa and the Arabian Peninsula. Uncommon complications include subgaleal haematoma (soft head syndrome) and periorbital oedema.

Case Presentation: A 17-year-old male patient presented with body aches and progressive right parieto-temporal and frontal head swelling. Physical examination revealed puffiness of the right eye that progressed rapidly to reddish periorbital oedema sparing the extraocular muscle and pupil response to light. CT and MRI of the brain suggested multiple subgaleal haematomas (soft head syndrome) and right periorbital oedema.

Conclusion: Subgaleal haematoma (soft head syndrome) and periorbital oedema are uncommon complications of sickle cell disease. Management is conservative rather than surgical.

Learning Points: Subgaleal haematoma concurrently with periorbital oedema is a rare presentation of sickle cell disease.There are no guidelines on treatment, but the conditions in our patient resolved with conservative management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546570PMC
http://dx.doi.org/10.12890/2020_001766DOI Listing

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