Angioedema, a life-threatening adverse reaction to ACE-inhibitors

Journal Title: Romanian Journal of Rhinology - Year 2019, Vol 9, Issue 36

Abstract

Angioedema with life-threatening site is one of the most impressive and serious reasons for presenting to the ENT doctor. Among different causes (tumors, local infections, allergy reactions), an important cause is the side-effect of the angiotensin converting enzyme (ACE) inhibitors drugs. ACE-inhibitors-induced angioedema is described to be the most frequent form of bradykininmediated angioedema presented in emergency and also one of the most encountered drug-induced angioedema. The edema can involve one or more areas of the head and neck region, the most affected being the face, the lips, the tongue, followed by the larynx, when it may determine respiratory distress and even death. There are no specific diagnosis tests available and the positive diagnosis of ACE-inhibitors-induced angioedema is an exclusion diagnosis. The authors performed a review of the most important characteristics of the angioedema caused by ACE-inhibitors and present their experience emphasizing the diagnostic algorithm.

Authors and Affiliations

Ramona Ungureanu, Elena Madalan

Keywords

Related Articles

Primary nasal septal acinic cell carcinoma

BACKGROUND. Acinic cell carcinoma (ACC) is a rare malignant salivary gland tumour. It is of a low-grade type. The commonest site involved is the parotid gland. ACC is not common in minor salivary glands; this tumour type...

Giant ethmoido-frontal osteoma with intracranial and orbital extension – Case report

BACKGROUND. The most frequent benign nasal tumor is the osteoma. It is commonly asymptomatic and usually an incidental finding and can be caused by multiple factors. The therapeutic approach for symptomatic osteomas is s...

The value of posterior rhinomanometry in evaluating patients with snoring and obstructive sleep apnea syndrome

BACKGROUND. Nowadays, snoring and obstructive sleep apnea are the most common sleep-related breathing disorders (SRBD) found in the medical practice and they are estimated to affect approximately 4% of men and 2% of wome...

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick...

Difficulties in the diagnosis of fungal rhinosinusitis – Literature review

Fungal rhinosinusitis is an important pathological entity, a highly controversial topic in the medical world today, by the various research directions it offers. In order to be able to predict a patient’s prognosis and h...

Download PDF file
  • EP ID EP668679
  • DOI 10.2478/rjr-2019-0023
  • Views 60
  • Downloads 0

How To Cite

Ramona Ungureanu, Elena Madalan (2019). Angioedema, a life-threatening adverse reaction to ACE-inhibitors. Romanian Journal of Rhinology, 9(36), 177-181. https://europub.co.uk/articles/-A-668679