Een rood en gezwollen gelaat na heffen van de armen

Diagnose in beeld
Vincent A. de Weger en Frank Stam

A red swollen face after raising the arms

An 82-year-old woman attended our outpatient clinic because of a swollen right arm and hoarseness. Upon raising both arms, the patient developed a red and swollen face (Pemberton’s sign). An MRI of the thorax showed a large intrathoracic goitre, which compressed venous structures and limited blood flow even when she lowered her arms.

Conflict of interest and financial support: none declared.