Angiotensin-converting enzyme inhibitors as a cause of unilateral tongue angioedema in a 68-year-old woman

First described by Milton and Quincke in the late 19th century, angioedema is characterized by sudden, well-demarcated, localized, nonpitting, and often erythematous edema. The resultant of postcapillary venule inflammation and subsequent fluid leakage in the subdermis, angioedema has 4 main causes:...

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Bibliographic Details
Published in:The American journal of emergency medicine 2006-03, Vol.24 (2), p.249-250
Main Authors: Chan, Yu-Feng, Kalira, Dimpi, Hore, Puspal
Format: Article
Language:English
Subjects:
ACE inhibitors
Aged
Airway management
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angioedema
Angioedema - chemically induced
Angioedema - physiopathology
Angiotensin-Converting Enzyme Inhibitors - adverse effects
Benzazepines - adverse effects
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Drug dosages
Edema
Emergency medical care
Enzyme inhibitors
Female
Hormones. Endocrine system
Humans
Intensive care medicine
Medical sciences
Medical treatment
Permeability
Pharmacology. Drug treatments
Tongue Diseases - chemically induced
Tongue Diseases - physiopathology
Urogenital system
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Summary:First described by Milton and Quincke in the late 19th century, angioedema is characterized by sudden, well-demarcated, localized, nonpitting, and often erythematous edema. The resultant of postcapillary venule inflammation and subsequent fluid leakage in the subdermis, angioedema has 4 main causes: (1) IgE-mediated allergic reaction to food, drug, or environmental exposure, (2) deficiency of C1 esterase inhibitor, either acquired or hereditary, (3) ACE inhibitors, and (4) idiopathy [4].
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2005.09.013