Results 1 to 2 of 2

Thread: Clinical Case: Angioedema of the Tongue

  1. #1
    Join Date
    Aug 2008
    Posts
    6,603
    Rep Power
    45

    Default Clinical Case: Angioedema of the Tongue

    Angioedema of the Tongue




    Case:



    Summary points:


    An 86-year-old on antihypertensive treatment for 12 years presents with 6-hour history of acute, painless, nonpruritic tongue swelling with no symptoms of upper airway obstruction or dyspnea.

    This case report describes the physical examination, the diagnosis, and treatment outcome, and includes an photograph.



    Your Diagnosis?





    Go to case

    [HIDE]

    We diagnosed ACE-inhibitor-induced angioedema and discontinued benazepril therapy. She was given intravenous steroids and antihistamines. There was no initial improvement, but within 2 days her tongue returned to normal size. The patient was given a different antihypertensive medication, and she remained symptom-free several months later.

    Angioedema is acute, self-limited localized swelling of subcutaneous or mucosal tissue. It often affects the lips, eyelids, face, tongue, larynx or bowel, and often causes large, well-demarcated lesions that typically resolve in 2–3 days but may last 5–7 days. Angioedema affects 0.1%–0.5% of patients taking ACE inhibitors and may develop hours or years after therapy is initiated. Its onset may be idiopathic or the result of diverse causes such as nonsteroidal anti-inflammatory drugs, antibiotics, insect bites, food or environmental allergens and complement-inhibitor deficiencies. Cross reactivity with other types of ACE inhibitors is common, and a change of drug classes is necessary to prevent a recurrence. Treatments for angioedema are dependent on the underlying cause and may include antihistamines, corticosteroids, epinephrine and tranexamic acid.


    [/HIDE]
    Attached Images Attached Images

  2. #2
    Join Date
    Aug 2008
    Posts
    6,603
    Rep Power
    45

    Arrow

    Dilation of Renal Artery Stenosis after Administration of Losartan


    A 22-year-old with hypertension presents with renal artery stenosis of fibromuscular dysplasia that was difficult to dilate even by cutting-balloon angioplasty. This case report details the approach to management, and includes a series of images. The present case suggests the possibility of remodelling the renal artery during the normotensive state by administering losartan after the angioplasty.



    Go to case details:




    [HIDE]

    http://www.jstage.jst.go.jp/article/...30/10/999/_pdf

    [/HIDE]

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Tongue lesions-enjoy
    By sharonito in forum Disease, Syndromes & Procedures
    Replies: 1
    Last Post: 05-05-2013, 02:56 PM
  2. Replies: 0
    Last Post: 02-20-2009, 10:07 AM
  3. Replies: 0
    Last Post: 12-16-2008, 06:59 PM
  4. Tongue twisters
    By Asrafee in forum Other
    Replies: 0
    Last Post: 09-22-2007, 11:57 PM
  5. Clinical Case
    By alihussain38 in forum Clinical Cases
    Replies: 2
    Last Post: 07-15-2007, 04:43 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •