Malar flush

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Malar flush
Differential diagnosis mitral stenosis, SLE

Malar flush is a plum-red discolouration of the high cheeks. It is classically associated with mitral valve stenosis due to the resulting CO2 retention and its vasodilatory effects. It can also be associated with lupus, polycythemia vera and homocystinuria.

Contents

Definition

Malar flush is a plum-red discolouration of the high cheeks. [1]

Pathophysiology

Mitral valve stenosis may cause malar flush due to CO2 retention, which causes vasodilation of arterioles in the cheeks. [1]

It can also be associated with other conditions, such as lupus, [2] polycythemia vera [3] and homocystinuria. [4]

See also

Related Research Articles

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Mitral facies refers to a distinctive facial appearance associated with mitral stenosis.

Cutaneous manifestations of COVID-19 are characteristic signs or symptoms of the Coronavirus disease 2019 that occur in the skin. The American Academy of Dermatology reports that skin lesions such as morbilliform, pernio, urticaria, macular erythema, vesicular purpura, papulosquamous purpura and retiform purpura are seen in people with COVID-19. Pernio-like lesions were more common in mild disease while retiform purpura was seen only in critically ill patients. The major dermatologic patterns identified in individuals with COVID-19 are urticarial rash, confluent erythematous/morbilliform rash, papulovesicular exanthem, chilbain-like acral pattern, livedo reticularis and purpuric “vasculitic” pattern. Chilblains and Multisystem inflammatory syndrome in children are also cutaneous manifestations of COVID-19.

References

  1. 1 2 Topol, Eric J; Califf, Robert M (2007). Textbook of cardiovascular medicine (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. p. 194. ISBN   9780781770125 . Retrieved 13 January 2017.
  2. Dreizen, S. (January 1991). "The butterfly rash and the malar flush. What diseases do these signs reflect?". Postgraduate Medicine. 89 (1): 225–228, 233–234. doi:10.1080/00325481.1991.11700800. ISSN   0032-5481. PMID   1824645.
  3. Clarke, R. "Mitral Facies" (PDF). Ask Doctor Clarke. Retrieved 13 January 2017.
  4. Marcdante, Karen; Kliegman, Robert M. (2019). Nelson Essentials of Pediatrics, 8th edition. Elsevier. p. 203. ISBN   978-0-323-51145-2.