Angioedema of the airway: an unusual case

Author:

Roper A J,Farragher A,Homer J J,Helbert M

Abstract

AbstractWe report a case of angioedema caused by angiotensin-converting enzyme inhibitor and topical lignocaine spray, administered during nasendoscopy.Angioedema induced by angiotensin-converting enzyme inhibitors is a rare but well known entity. Allergy to topical lignocaine has been acknowledged as a rare phenomenon when used for dental surgery and for skin anaesthesia, but it has not previously been reported after topical administration prior to nasendoscopy. In the reported case, our patient was unfortunate enough to be allergic to both lisinopril and lignocaine. The result was life-threatening airway obstruction, and the continued use of lignocaine spray sustained the laryngeal oedema. We advise that patients are asked about any and every allergy – specifically, any previous problems with dental procedures – before administration of local anaesthetic spray to the upper aerodigestive tract.

Publisher

Cambridge University Press (CUP)

Subject

Otorhinolaryngology,General Medicine

Cited by 8 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Angioödem;Anästhesie bei seltenen Erkrankungen;2018

2. Angiotensin-converting enzyme inhibitors;Meyler's Side Effects of Drugs;2016

3. Arzneimittelinduzierte Angioödeme;Allergologie;2013-03-01

4. Morbidity and Patient Perception of Flexible Laryngoscopy;Annals of Otology, Rhinology & Laryngology;2012-11

5. A;Anästhesie bei seltenen Erkrankungen;2011

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