TY - JOUR
T1 - Two cases of pharyngeal angioedema requiring emergent tracheostomy
AU - Wakabayashi, Kenichiro
AU - Takei, Satoshi
PY - 2006
Y1 - 2006
N2 - Sometimes angioedema in the face, pharynx and larynx progresses so acutely that patient develops such difficulty breathing that it may become fatal. We report two cases of angioedema in the pharynx requiring tracheostomy. One case was caused by angiotensin converting enzyme (ACE) inhibitors that she was taking ACE inhibitors for hypertension and there was no rise of IgE in RAST and no decrease in C1-inhibitor. The other case was caused by oral allergy syndrome (OAS) with rising of IgE in RAST of soybean, radish, etc. that had been eaten just before swelling occurred. The numbers of persons of advanced age are increasing, which in turn generates a higher the demand for ACE inhibitors. Recently, the incidence of allergic diseases has also been increasing. We suspect these circumstances will increase the incidence of angioedema caused by ACE inhibitors and OAS. It is important to check the patient's medication and meals to determine the origin and it is necessary for otorhinolaryngologists to recognize angioedema.
AB - Sometimes angioedema in the face, pharynx and larynx progresses so acutely that patient develops such difficulty breathing that it may become fatal. We report two cases of angioedema in the pharynx requiring tracheostomy. One case was caused by angiotensin converting enzyme (ACE) inhibitors that she was taking ACE inhibitors for hypertension and there was no rise of IgE in RAST and no decrease in C1-inhibitor. The other case was caused by oral allergy syndrome (OAS) with rising of IgE in RAST of soybean, radish, etc. that had been eaten just before swelling occurred. The numbers of persons of advanced age are increasing, which in turn generates a higher the demand for ACE inhibitors. Recently, the incidence of allergic diseases has also been increasing. We suspect these circumstances will increase the incidence of angioedema caused by ACE inhibitors and OAS. It is important to check the patient's medication and meals to determine the origin and it is necessary for otorhinolaryngologists to recognize angioedema.
KW - Angioedema
KW - Angiotensin converting enzyme (ACE) inhibitors
KW - Tracheostomy
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U2 - 10.5631/jibirin.99.461
DO - 10.5631/jibirin.99.461
M3 - Article
AN - SCOPUS:33745646295
VL - 99
SP - 461
EP - 466
JO - Practica Oto-Rhino-Laryngologica
JF - Practica Oto-Rhino-Laryngologica
SN - 0032-6313
IS - 6
ER -