
All Things Angioedema – Learning about angioedema with Dr. Thomas Buttgereit
Facial Swelling: Finding the Diagnosis
In this episode of All Things Angioedema, Dr. Thomas Buttgereit speaks with dermatologist Dr. Natasha Teovska Mitrevska from North Macedonia about one of the biggest challenges in clinical practice: distinguishing angioedema from other conditions that cause facial or tissue swelling. Drawing on her experience in both medical and aesthetic dermatology, she explains common differential diagnoses and discusses how cosmetic procedures can trigger swelling that resembles angioedema. They discuss: Which conditions commonly mimic angioedema? How can cosmetic and aesthetic procedures trigger swelling? Which forms of chronic inducible urticaria may occur after aesthetic treatments? Why is careful patient history essential before cosmetic procedures? How can clinicians distinguish inflammatory swelling from true angioedema? What should patients and practitioners know about fillers and delayed reactions? The episode highlights the importance of careful clinical assessment, patient history, and awareness of differential diagnoses to ensure patients receive the correct diagnosis and treatment while safely undergoing dermatological and aesthetic procedures. Key Learnings from the Episode: Not every facial swelling is angioedema. Several skin diseases and infections can mimic angioedema. A thorough medical history is essential before cosmetic procedures. Laser treatments, fillers, and other aesthetic procedures can trigger temporary swelling. Patients with chronic urticaria or inducible urticaria may have a higher risk of procedure-related reactions. Different types of chronic inducible urticaria can be triggered by physical stimuli during aesthetic treatments. Delayed inflammatory reactions after fillers require careful evaluation. Accurate diagnosis helps distinguish true angioedema from cosmetic treatment-related swelling. Close collaboration between dermatologists and allergy specialists improves patient safety. Chapters: 00:00 Introduction to the episode and guest 01:08 Guest introduction and practice background 04:20 Common differential diagnoses for facial swelling 06:22 Swelling duration and laser hair removal 07:45 Inflammatory swelling from aesthetic procedures 09:25 Other differential diagnoses: lupus, rosacea, drug reactions 12:22 Impact of chronic conditions and medication on swelling 16:32 Allergic reactions to fillers and aesthetic materials 18:23 Perception of beauty and filler overfilling 21:24 Balancing aesthetic goals with safety considerations 22:22 Closing remarks and contact information Do you have suggestions for future episodes? Please provide feedback and offer your suggestions for future topics and expert selection here. Feedback form ATA: https://forms.office.com/e/ZWxx3D4Cmr






