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2016 ; 2016
(ä): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Life-threatening angio-oedema after the first dose of an ACE inhibitor-not an
anaphylactic reaction
#MMPMID27229746
Krogh Nielsen T
; Bygum A
; Rye Rasmussen E
BMJ Case Rep
2016[May]; 2016
(ä): ä PMID27229746
show ga
We present a case of a 60-year-old Caucasian woman, with no prior history of
swellings, who was admitted to a hospital due to life-threatening angio-oedema.
She had, the previous day, been prescribed an ACE inhibitor for her essential
hypertension. She had taken one tablet at night-time, and awoke in the morning
with a swollen face progressing to involve the tongue and throat within a few
hours. On arrival at her doctor's office, her voice had altered. Corticosteroids
and antihistamine were administered while awaiting an ambulance. Arriving at the
emergency department, she had dyspnoea due to increasingly severe angio-oedema of
the upper airways. Neither adrenaline inhalations, intravenously administrated
corticosteroids, atropine nor furosemide were effective and the patient soon
become bradycardic. A tracheotomy was performed and the patient was placed on a
ventilator. She eventually made a full recovery. It was concluded that she had
suffered from life-threatening angio-oedema due to her new medication.