Analysis of Recurrent Angiotensin Converting Enzyme Inhibitor‐Induced Angioedema

Angioneurotic edema of upper airway tissues due to angiotensin converting enzyme inhibitor (ACEI) usage is a known perioperative complication of this class of medications. Swelling can begin rapidly, and typically involves the tongue and oral cavity. We have recently encountered four cases in which supraglottic edema developed after onset of tongue swelling and progressed despite resolving tongue edema. We present a representative case. This observation suggests that all patients with ACEI-induced angioedema should undergo laryngeal fiberoptic examination and appropriate airway management.

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“…Moreover, after the patient has suffered an episode of ACEI-induced angioedema, care must be taken that he is not started on an ACEI. 21 …”

Section: Discussionmentioning

confidence: 99%

Supraglottic swelling may not correlate with tongue swelling in angiotensin converting enzyme inhibitor‐induced angioedema

2009

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“…Ponovljeni angioedem može se javljati po sličnom scenariju kao i prvobitna epizoda. Dešava se u praksi i da bolesnici imaju višestruke ponavljane napade 24,25 , ponekad praćene dužim asimptomatskim periodima 53 , što dodatno može zbunjivati lekare i odložiti pravilnu dijagnozu, odnosno prekid primene leka-uzročnika 26,28 . Blaži oblici angioedema (npr.…”

Section: Diskusijaunclassified

Delayed angioedema during therapy with angiotensin-converting enzyme inhibitors

Janković

Stefanović²

2011

VOJNOSANIT PREGL

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“…One in five such patients react similarly to angiotensin-II receptor blockers. These events may occur months to years following drug commencement 1. Antihistamines and steroids provide little clinical benefit and formally securing the compromised airway by advanced airway techniques may be necessary.…”

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confidence: 99%