Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 52206,
    "title": "Effects of Volume Overload: A Case Report of an Edema Bulla",
    "subtitle": null,
    "abstract": "<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-size: 11pt; font-family: Calibri, sans-serif; color: black;\">We present a case of a 75-year-old female with a history of congestive heart failure who developed a large edema bulla on her right shin after running out of her home medications. The patient presented with swelling and a rapidly enlarging bulla that reached the size of a grapefruit. Physical examination revealed bilateral pitting edema and a 10 x 10 cm bulla filled with serous fluid. Dermatology was consulted, confirming the diagnosis of edema bulla secondary to acute volume overload. The bulla was drained in the emergency department, and the patient was discharged with wound care instructions, including the application of petroleum jelly and vinegar compresses. Follow-up three months later showed significant healing. This case highlights the importance of recognizing edema bullae in patients and managing the underlying fluid overload. This case report specifically demonstrates that edema bullae can present at sizes larger than the 1-5 cm range described in existing literature.</span></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "bulla"
        },
        {
            "word": "Vesicle"
        },
        {
            "word": "Dermatology"
        },
        {
            "word": "Blister"
        }
    ],
    "section": "Visual EM",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0sw5g3k9",
    "frozenauthors": [
        {
            "first_name": "Jarom",
            "middle_name": "",
            "last_name": "Morris",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Sommer",
            "name_suffix": "",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Felix",
            "middle_name": "",
            "last_name": "Braun",
            "name_suffix": "MD",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Brent",
            "middle_name": "",
            "last_name": "Klapthor",
            "name_suffix": "MD",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Allison",
            "middle_name": "",
            "last_name": "Beaulieu",
            "name_suffix": "MD, MAEd",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Megan",
            "middle_name": "",
            "last_name": "Fix",
            "name_suffix": "MD",
            "institution": "University of Utah",
            "department": "Department of Emergency Medicine"
        }
    ],
    "date_submitted": "2024-11-07T17:35:04+02:00",
    "date_accepted": "2025-11-26T23:15:13.852000+02:00",
    "date_published": "2026-01-31T12:04:00+02:00",
    "render_galley": {
        "label": "Morris J, et al. Effects of Volume Overload A Case Report of an Edema Bulla. JETem 2026. 11(1)V6-8",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_jetem/article/52206/galley/48070/download/"
    },
    "galleys": [
        {
            "label": "Morris J, et al. Effects of Volume Overload A Case Report of an Edema Bulla. JETem 2026. 11(1)V6-8",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_jetem/article/52206/galley/48070/download/"
        }
    ]
}