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

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...

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Detalles Bibliográficos
Autores principales: Wagner, Jonathan G., Bench, Elias M., Plantmason, Lee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2015
Materias:
Diagnostic Acumen
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703164/
https://www.ncbi.nlm.nih.gov/pubmed/26759679
http://dx.doi.org/10.5811/westjem.2015.8.28061
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author Wagner, Jonathan G.
Bench, Elias M.
Plantmason, Lee
author_facet Wagner, Jonathan G.
Bench, Elias M.
Plantmason, Lee
author_sort Wagner, Jonathan G.
collection PubMed
description 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.
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spelling pubmed-47031642016-01-12 An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx Wagner, Jonathan G. Bench, Elias M. Plantmason, Lee West J Emerg Med Diagnostic Acumen 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. Department of Emergency Medicine, University of California, Irvine School of Medicine 2015-12 2015-11-18 /pmc/articles/PMC4703164/ /pubmed/26759679 http://dx.doi.org/10.5811/westjem.2015.8.28061 Text en Copyright © 2015 Wagner et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Diagnostic Acumen
Wagner, Jonathan G.
Bench, Elias M.
Plantmason, Lee
An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title_full An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title_fullStr An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title_full_unstemmed An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title_short An Unusual Case of Angiotensin-Converting-Enzyme Inhibitor-Related Penile Angioedema with Evolution to the Oropharynx
title_sort unusual case of angiotensin-converting-enzyme inhibitor-related penile angioedema with evolution to the oropharynx
topic Diagnostic Acumen
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703164/
https://www.ncbi.nlm.nih.gov/pubmed/26759679
http://dx.doi.org/10.5811/westjem.2015.8.28061
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