Isolated Intestinal Angioedema in the Emergency Department
| Autor: | Thomas Backaert, Stefan Neyrinck, Jamal Belkhouribchia |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Complement C1 Inactivator Proteins C1-inhibitor Diagnosis Differential 03 medical and health sciences chemistry.chemical_compound Ecallantide 0302 clinical medicine immune system diseases Icatibant Edema Medicine Humans cardiovascular diseases 030212 general & internal medicine skin and connective tissue diseases Angioedema biology business.industry Angioedemas Hereditary food and beverages medicine.disease Dermatology Surgery Abdominal Pain chemistry Hereditary angioedema Emergency Medicine biology.protein Female Fresh frozen plasma medicine.symptom business Emergency Service Hospital Complement C1 Inhibitor Protein 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | The Journal of emergency medicine. 50(4) |
| ISSN: | 0736-4679 |
| Popis: | Background Angioedema is a condition that can cause cutaneous and mucosal edema of practically any part of the body. Isolated edema of the intestines is a rather rare manifestation, but it can cause important morbidity. Hereditary angioedema as well as certain medications can give rise to intestinal angioedema. We have seen a rise in frequency of intestinal angioedema since the advent of angiotensin-converting enzyme inhibitors. Ultrasound of the abdomen is an inexpensive, safe, and easy tool that can help in the differential diagnosis. Case Report We describe the case of a 25-year-old woman who presented with acute abdominal pain. She was diagnosed with intestinal angioedema due to hereditary angioedema type I. Why Should an Emergency Physician Be Aware of This? Misdiagnosis can lead to administering the wrong treatment or even unnecessary surgical interventions. Intestinal angioedema is best treated with purified C1-inhibitor, icatibant, or ecallantide. Fresh frozen plasma is to be avoided because it carries the risk of worsening the symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect