"Venous Stars," An Important Diagnostic Sign: Case Report

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Superior Vena Cava Syndrome (SVCS) may be mistaken for angioedema. Usually a routine screening chest x-ray will demonstrate the presence of a mediastinal mass, thus, establishing the diagnosis of SVCS. In those cases where the chest x-ray is initially interpreted as normal, an alert physician can differentiate the diagnosis of SVCS by pathognomonic signs of progressive telangiectasia of the chest wall together with plethora and facial edema, and distended, prominent jugular veins. Progressive telangiectasia ("venous stars") is a most important diagnostic sign. A prompt tissue diagnosis and immediate treatment are mandatory. A case report of SVCS initially manifesting as angioedema is presented.

Document Type: Research Article

DOI: http://dx.doi.org/10.2500/108854182779089535

Publication date: December 1, 1982

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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