Limbus sign
| Limbus sign | |
|---|---|
| Synonyms | |
| Pronounce | N/A | 
| Specialty | Ophthalmology | 
| Symptoms | Arcus senilis, corneal arcus | 
| Complications | N/A | 
| Onset | Typically in older adults | 
| Duration | Permanent | 
| Types | N/A | 
| Causes | Lipid deposits in the cornea | 
| Risks | Associated with hyperlipidemia, cardiovascular disease | 
| Diagnosis | Slit lamp examination | 
| Differential diagnosis | Kayser-Fleischer ring, Band keratopathy | 
| Prevention | N/A | 
| Treatment | No treatment required for the sign itself | 
| Medication | N/A | 
| Prognosis | Benign, but may indicate underlying systemic conditions | 
| Frequency | Common in older adults | 
| Deaths | N/A | 
Limbus sign is a clinical sign in medicine that is used to diagnose pericardial effusion. It is characterized by the presence of a fluid line around the heart on a chest X-ray.
Definition
The limbus sign is a radiological sign seen in pericardial effusion. It is characterized by the presence of a fluid line around the heart on a chest X-ray. This fluid line is seen as a result of the accumulation of fluid in the pericardial space, which is the space between the heart and the pericardium, the sac that surrounds the heart.
Clinical significance
The presence of the limbus sign is indicative of a pericardial effusion. This is a condition where there is an abnormal accumulation of fluid in the pericardial space. This can occur due to a variety of reasons, including inflammation of the pericardium (pericarditis), infection, trauma, heart surgery, and certain diseases such as cancer and autoimmune diseases. The limbus sign is one of the signs that doctors look for when diagnosing pericardial effusion. It is not always present, and its absence does not rule out the condition. However, when it is present, it can be a helpful diagnostic tool.
Diagnosis
The diagnosis of pericardial effusion is usually made based on a combination of clinical symptoms, physical examination, and imaging studies. The limbus sign is one of the signs that can be seen on imaging studies such as a chest X-ray. In addition to the limbus sign, other signs that may be seen on a chest X-ray in pericardial effusion include an enlarged cardiac silhouette and the presence of a water bottle sign.
Treatment
The treatment of pericardial effusion depends on the underlying cause. In some cases, treatment may involve medications to reduce inflammation and fluid accumulation. In other cases, a procedure known as a pericardiocentesis may be performed to drain the excess fluid.
See also
References
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Contributors: Prab R. Tumpati, MD