Life threatening tongue angioedema associated with an angiotensin-converting enzyme inhibitor

Vet Hum Toxicol. 2004 Apr;46(2):85-6.

Abstract

We present a case with angioedema of the tongue, following 1 dose of an angiotensin-converting enzyme (ACE) inhibitor ingestion. A gradual progression of angioedema required tracheotomy despite aggressive medical treatment and illustrates the severity of this adverse reaction. Although ACE inhibitors are considered safe, emergency physicians should be alert for minor angioedema at presentation that may progress to life threatening airway compromise.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioedema / chemically induced
  • Angioedema / diagnosis*
  • Angioedema / pathology
  • Angiotensin-Converting Enzyme Inhibitors / adverse effects*
  • Captopril / adverse effects*
  • Diagnosis, Differential
  • Drug Eruptions / diagnosis*
  • Drug Eruptions / etiology
  • Drug Eruptions / pathology
  • Emergency Treatment
  • Humans
  • Male
  • Tongue Diseases / chemically induced
  • Tongue Diseases / diagnosis*
  • Tongue Diseases / pathology
  • Tracheotomy

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Captopril