Enalapril induced normocomplementemic urticarial vasculitis

Koregol, Savita; Naidu, Varna; Rao, Sudhakar; Ankad, BS

doi:10.4103/0378-6323.148586

Cited by 10 publications

(10 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For instance, a 48-year-old female developed histologically confirmed urticarial vasculitis 3 months after glatiramer acetate administered for multiple sclerosis,[ 6 ] glimepiride induced urticarial vasculitis in a 72-year-old woman occurred 6 weeks after starting the drug,[ 7 ] and urticarial vasculitis appeared 8 days after enalapril therapy. [ 8 ] Similarly, our patient developed urticarial vasculitis only recently despite ingesting the implicated antihypertensive infrequently during >1-year period. Apparently, he developed urticarial vasculitis only when he started taking the drug more frequently.…”

Section: Discussionmentioning

confidence: 55%

“…Drugs have been implicated in about 10% of vasculitis cases and diltiazem, cimetidine, antibiotics, interferon, NSAIDs, and potassium iodide remain as commonly implicated drugs. [ 5 ] Glatiramer,[ 6 ] glimepiride,[ 7 ] enalapril,[ 8 ] and levetiracetam[ 9 ] too have been reported to elicit urticarial vasculitis. Curiously, the drugs appear to elicit urticarial vasculitis after a variable period irrespective of dose and frequency of drug administration.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Telmisartan induced urticarial vasculitis

et al. 2015

View full text Add to dashboard Cite

A 53-year-old man developed urticarial vasculitis following ingestion of telmisartan and hydrochlorothiazide combination for hypertension. Treatment with prednisolone and cetirizine was curative, but his lesions recurred when he continued telmisartan and hydrochlorothiazide against medical advice. Re-challenge with the same doses of telmisartan precipitated similar lesions with telmisartan and not with hydrochlorothiazide. This uncommon cutaneous adverse reaction of angiotensin II receptor blockers has implication for the clinicians as more such cases may become apparent with their wider use than in premarketing studies.

show abstract

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Telmisartan induced urticarial vasculitis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The risk of UV is irrespective of both dose and frequency [8]. Infliximab, procainamide, antidepressants, methotrexate, sulfamethoxazoletrimethoprim, diltiazem, cimetidine, enalaprilin, and nonsteroid anti-inflammatory drugs (NSAIDs) are the main drugs reported in the literature [3,13]. A patient with UV should also be examined for underlying diseases like viral infections, monoclonal gammopathies, serum sickness, and serum sickness like reactions, SLE, Sjögren's syndrome (SS) or mixed cryoglobulinemia [2,14,15].…”

Section: Etiopathogenesismentioning

confidence: 99%

“…Smokers can develop more severe respiratory involvement and progression to COPD in HUV patients [31]. UV can sometimes develop in striae distensae and can present a diagnostic challenge in pregnancy [13]. UV can sometimes be a presenting sign of SLE or present with a clinical picture similar to SLE [12,28].…”

Section: Clinical Featuresmentioning

confidence: 99%

Urticarial Vasculitis

Koç¹,

Aksoy²,

Tatlıparmak³

2017

A Comprehensive Review of Urticaria and Angioedema

View full text Add to dashboard Cite

Urticarial vasculitis (UV) is a small vessel vasculitis and an immune-complex mediated disease like other leukocytoclastic vasculitis. UV seems similar to common urticaria clinically. Major difference between urticarial vasculitis and urticaria is the duration of lesions. Urticarial lesions regress in 24 hours, but UV lesions persist longer than 24 hours. Residual hyperpigmentation, constitutional symptoms like fever, arthralgia, and abdominal pain are other main clinical differences between these disorders. Upon confirmation of diagnosis, patients are divided into two major categories on the basis of serum complement levels: normocomplementemic UV (NUV) and hypocomplementemic UV (HUV). Consensus meeting in 1996 stated that long lasting (at least 24 hour-5 days) indurated wheals, which may be itchy, painful or tender, be associated with purpura and presence of associated extracutaneous findings, and cutaneous vasculitis confirmed by histopathological examination are defined as UV.

show abstract

“…3 Apart from the association with systemic lupus erythematosus, urticarial vasculitis may be associated with other autoimmune disorders (Sjogren's syndrome), serum sickness, cryoglobulinemia, infections, certain medications (cimetidine, diltiazem, potassium iodide, fluoxetine, nonsteroidal inflammatory drugs, glatiramer acetate, levetiracetam, enalapril, telmisartan), and hematologic malignancies (plasma cell dyscrasias, leukemias). 4,5 While evaluating a case of urticarial vasculitis, differential diagnosis of urticaria, atypical erythema multiforme, serum sickness-like reactions, Schnitzler syndrome and adult-onset Still's disease should be considered and ruled out.…”

mentioning

confidence: 99%