Angioedema of the lips and tongue induced by angiotensin-converting enzyme inhibitor. A report of two cases.

Autor: Stevenson HA; Liverpool University, Dental Hospital and School of Dentistry, Liverpool, UK., Steele JC, Field EA, Darroch CJ
Jazyk: angličtina
Zdroj: Primary dental care : journal of the Faculty of General Dental Practitioners (UK) [Prim Dent Care] 2004 Jan; Vol. 11 (1), pp. 17-9.
DOI: 10.1308/135576104322702769
Abstrakt: The following case reports describe the clinical presentation, diagnosis and management of two patients who attended Liverpool University Dental Hospital with rapidly increasing swelling of the lips and tongue. Both patients were suffering from angioedema and were taking an angiotension-converting enzyme (ACE) inhibitor (ACEI). A provisional diagnosis of ACEI-induced angioedema was made. An intramuscular injection of chlorpheniramine maleate was given to both patients and they were immediately transferred to the local accident and emergency department. These cases illustrate the potential role of the general dental practitioner in the early recognition and management of this potentially life-threatening condition.
Databáze: MEDLINE