An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx

被引:2
作者
Wagner, Jonathan G. [1 ]
Bench, Elias M. [1 ]
Plantmason, Lee [1 ]
机构
[1] Univ So Calif, Keck Sch Med, LAC USC, Dept Emergency Med, 1200 N State St,Room 1011, Los Angeles, CA 90033 USA
关键词
Angioedema; ACEI; penile swelling; ACEI related angioedema;
D O I
10.5811/westjem.2015.8.28061
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 52-year-old African American male with a long history of poorly controlled hypertension presented to the emergency department (ED) with two days of genital edema and pain. During ED work-up, the patient developed sudden onset of non-pitting, non-pruritic, and non-urticarial upper lip edema. Review of his antihypertensive medication list revealed that he normally took benazepril, highly suggestive of a diagnosis of angiotensin-converting-enzyme inhibitor-related angioedema (ACEI-RA). We present the first reported case of penile ACEI-RA that progressed to involve the oropharynx. The ED management of the condition and some of the newer treatment options available for ACEI-RA is also briefly discussed.
引用
收藏
页码:1185 / 1187
页数:3
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